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Michigan rates for HCPCS J1190

Injection, dexrazoxane HCl, per 250 mg

Facilitymedian $115 · 10th–90th $60–$1950%10%10th90th$115Professionalmedian $59 · 10th–90th $58–$1660%50%10th90th$59$20.0$50.0$100.0$200.0$500.0$1.0K

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
$60.26 / $114.82 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $58.88 / $162.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $128.82 / $257.04
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $18.20 / $18.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $199.53 / $199.53
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $165.96 / $302.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $64.57 / $162.18
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $81.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $64.57 / $85.11