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Rhode Island rates for HCPCS J9120

Injection, dactinomycin, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,067.09 / $1,067.09 / $2,680.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $328.34 / $344.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.92 / $302.92 / $752.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $328.34 / $328.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.34 / $328.34 / $328.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $328.34 / $328.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $328.34 / $365.51