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Massachusetts rates for HCPCS J1190

Injection, dexrazoxane HCl, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.19 / $51.34 / $266.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.97 / $65.58 / $74.81
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.30 / $169.00 / $818.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.06 / $66.84 / $238.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.66 / $80.45 / $171.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.06 / $63.06 / $80.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.06 / $63.06 / $63.06
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.19 / $64.18 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.06 / $63.06 / $274.55
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.86 / $281.86 / $999.65
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.06 / $66.84 / $238.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.06 / $66.84 / $238.69