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Minnesota rates for HCPCS J1190

Injection, dexrazoxane HCl, per 250 mg

Facilitymedian $120 · 10th–90th $66–$2820%20%10th90th$120Professionalmedian $58 · 10th–90th $47–$810%50%10th90th$58$50.0$100.0$200.0$500.0

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 / $57.54 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $162.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $120.23 / $128.82
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $57.54 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $302.00 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $69.18 / $75.86
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $190.55 / $281.84
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $81.28
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $134.90 / $302.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $35.48 / $81.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $50.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $64.57 / $151.36