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Wyoming rates for HCPCS J9120

Injection, dactinomycin, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $354.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $891.25 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $288.40 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $346.74 / $436.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $575.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $323.59