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Colorado rates for HCPCS J1190

Injection, dexrazoxane HCl, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.34 / $64.18 / $4,377.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.83 / $63.06 / $70.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.37 / $110.72 / $201.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.06 / $63.06 / $63.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.49 / $59.49 / $176.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.06 / $63.06 / $63.06
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.16 / $104.60 / $348.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.30 / $69.37 / $103.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.06 / $63.06 / $63.06