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Nationwide rates for HCPCS J1190

Injection Dexrazoxane Hydrochloride Per 250 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.50 / $71.89 / $300.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.13 / $63.06 / $75.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.06 / $103.87 / $201.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.06 / $63.06 / $64.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.49 / $63.06 / $63.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.06 / $63.06 / $63.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.06 / $66.84 / $87.38