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Vermont rates for HCPCS J9120

Dactinomycin Injection

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $328.34 / $2,736.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.70 / $371.70 / $371.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.75 / $326.94 / $544.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $328.34 / $544.90
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.75 / $326.94 / $544.90
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $328.34 / $544.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $348.04 / $1,275.22