go back

Nebraska rates for HCPCS J9120

Injection, dactinomycin, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.92 / $328.34 / $725.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $328.34 / $508.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.95 / $371.71 / $371.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.79 / $353.12 / $371.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $433.19 / $757.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.92 / $490.99 / $925.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.80 / $321.50 / $1,571.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.56 / $487.20 / $1,404.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.95 / $799.00 / $2,438.16
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.34 / $425.80 / $1,385.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $328.34 / $492.51