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South Carolina rates for HCPCS J9120

Injection, dactinomycin, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $457.09 / $1,318.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $549.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $1,047.13 / $1,995.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $524.81 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $309.03 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $331.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $32.36 / $489.78
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $446.68 / $1,348.96
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $12.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $776.25 / $812.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $309.03 / $660.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $323.59 / $346.74