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South Carolina rates for HCPCS J9120

Dactinomycin Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.75 / $344.75 / $1,731.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $331.62 / $546.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.79 / $963.92 / $1,913.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $570.00 / $1,238.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.75 / $328.34 / $454.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $328.34 / $340.73
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.00 / $430.94 / $1,327.50
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $16.00 / $1,468.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.24 / $344.75 / $757.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.08 / $348.04 / $380.87