Dactinomycin chemotherapy injection, 0.5 mg

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

DACTINOMYCIN 0.5 MG INTRAVENOUS SOLUTION

Payers reporting HCPCS J9120

Payer pricing summary

Low

$161

Average

$1.5k

Median

$1.2k

High

$4.6k

Payer rate distribution

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#
1	Caresource fee schedule · outpatient · +15 other terms	86	$356	$441	$225	51%	13	$1 – $3.4k
2	UnitedHealthcare fee schedule · outpatient · +27 other terms	675	$508	$586	$547	93%	—	$1 – $7.9k
3	Aetna fee schedule · outpatient · +23 other terms	453	$424	$900	$1.6k	178%	—	$1 – $13.7k
4	Blue Cross Blue Shield fee schedule · outpatient · +25 other terms	409	$711	$1.4k	$1.4k	105%	—	$1 – $9.8k
5	Cigna fee schedule · outpatient · +22 other terms	402	$564	$1.0k	$1.3k	121%	—	$1 – $11.8k
6	Humana fee schedule · outpatient · +21 other terms	396	$328	$1.4k	$3.1k	219%	—	$1 – $13.9k
7	Anthem fee schedule · outpatient · +22 other terms	148	$455	$539	$665	123%	—	$19 – $5.9k
8	Molina fee schedule · outpatient · +22 other terms	148	$491	$504	$301	60%	—	$1 – $3.3k
9	WellCare fee schedule · outpatient · +15 other terms	134	$328	$363	$215	59%	—	$289 – $3.4k
10	Kaiser fee schedule · outpatient · +19 other terms	93	$422	$1.1k	$1.3k	119%	—	$1 – $5.8k
11	Ambetter facility · fee schedule · outpatient · +16 other terms	78	$608	$613	$141	23%	—	$325 – $828
12	MultiPlan fee schedule · outpatient · +15 other terms	75	$2.5k	$3.0k	$3.0k	99%	—	$1 – $12.7k
13	Devoted fee schedule · outpatient · +13 other terms	62	$329	$331	$16	5%	—	$299 – $360
14	Highmark facility · fee schedule · outpatient · +15 other terms	54	$525	$530	$361	68%	—	$21 – $1.8k
15	Optum fee schedule · outpatient · +18 other terms	42	$325	$1.9k	$3.0k	162%	—	$292 – $14.0k
16	Oscar facility · fee schedule · outpatient · +15 other terms	42	$405	$397	$76	19%	—	$308 – $607
17	Medicare fee schedule · outpatient · +10 other terms	36	$322	$292	$31	10%	—	$1 – $543
18	Medica fee schedule · outpatient · +16 other terms	34	$1.1k	$1.3k	$555	44%	—	$71 – $3.1k
19	Bcbs Tx fee schedule · outpatient · +3 other terms	31	$3.9k	$3.6k	$1.8k	50%	—	$305 – $7.1k
20	Clover fee schedule · outpatient · +6 other terms	29	$355	$331	$26	8%	—	$308 – $383
21	Tricare facility · fee schedule · outpatient · +14 other terms	29	$325	$2.0k	$2.1k	103%	—	$293 – $9.8k
22	Amerihealth Caritas facility · fee schedule · outpatient · +12 other terms	28	$328	$400	$298	74%	—	$302 – $2.1k
23	First Health fee schedule · outpatient · +14 other terms	28	$2.6k	$3.0k	$2.7k	91%	—	$45 – $11.0k
24	Baylor Scott White Health Plan facility · fee schedule · outpatient · +2 other terms	25	$427	$426	$85	20%	—	$321 – $557
25	Aetna Better Health fee schedule · outpatient · +13 other terms	24	$338	$466	$157	34%	—	$320 – $786

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