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New Jersey rates for HCPCS J9120

Injection, dactinomycin, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.34 / $739.13 / $2,468.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $328.34 / $367.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.34 / $833.02 / $1,261.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $328.34 / $340.73
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.73 / $356.22 / $492.87
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.80 / $770.68 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.80 / $302.92 / $877.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $346.40 / $394.01