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Oregon rates for HCPCS J9120

Injection, dactinomycin, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.92 / $527.08 / $1,090.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $328.34 / $1,090.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.75 / $551.55 / $577.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $328.34 / $387.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.59 / $692.16 / $854.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.92 / $568.03 / $1,260.77
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $361.17 / $508.93
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.92 / $377.90 / $1,324.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.34 / $564.26 / $1,159.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $406.00 / $1,048.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$636.02 / $1,129.65 / $3,005.67
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $328.34 / $361.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $328.34 / $377.59