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Illinois rates for HCPCS J1190

Injection, dexrazoxane HCl, per 250 mg

Facilitymedian $102 · 10th–90th $58–$7240%10%10th90th$102Professionalmedian $59 · 10th–90th $58–$2880%50%10th90th$59$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $102.33 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $234.42
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $1,174.90 / $2,511.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $100.00 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $50.12
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $208.93 / $588.84
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $81.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $134.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $61.66 / $85.11