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Tennessee rates for HCPCS J9120

Injection, dactinomycin, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $933.25 / $2,089.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $549.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $5,248.07 / $5,248.07
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,025.60 / $6,025.60 / $6,025.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $309.03 / $354.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $309.03 / $363.08