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Kansas rates for HCPCS J1190

Injection, dexrazoxane HCl, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.72 / $141.19 / $455.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.06 / $64.31 / $287.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.60 / $117.18 / $274.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.17 / $68.17 / $68.17
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.08 / $126.22 / $287.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.09 / $35.72 / $80.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.06 / $66.84 / $119.34