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Oklahoma rates for HCPCS J9120

Injection, dactinomycin, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.07 / $327.16 / $461.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $334.90 / $394.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.38 / $677.34 / $1,074.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.75 / $309.75 / $328.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $328.34 / $328.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.92 / $372.96 / $1,711.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.80 / $321.10 / $6,027.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $328.34 / $367.74