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Washington, DC rates for HCPCS J1190

Injection, dexrazoxane HCl, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.06 / $146.91 / $322.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.06 / $63.06 / $63.06
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.09 / $156.69 / $264.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.49 / $59.49 / $63.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.60 / $53.60 / $63.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.43 / $68.69 / $92.83