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Georgia rates for HCPCS J1190

Injection, dexrazoxane HCl, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.09 / $588.62 / $14,510.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.69 / $63.06 / $66.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.06 / $102.66 / $231.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.06 / $63.06 / $64.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.06 / $63.06 / $124.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.49 / $59.49 / $63.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.06 / $63.06 / $63.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.97 / $280.33 / $280.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.06 / $66.84 / $80.72