| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $160.74 | $261.06 | $481.65 | |
Aetna
| Professional | $63.06 | $63.06 | $74.81 | |
Cigna
| Professional | $63.06 | $63.06 | $63.06 | |
United
| Professional | $66.84 | $94.59 | $275.19 |
Injection, dexrazoxane HCl, per 250 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $160.74 | $261.06 | $481.65 | |
Aetna
| Professional | $63.06 | $63.06 | $74.81 | |
Cigna
| Professional | $63.06 | $63.06 | $63.06 | |
United
| Professional | $66.84 | $94.59 | $275.19 |