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Minnesota rates for HCPCS J1190

Injection, dexrazoxane HCl, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.06 / $63.06 / $64.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.06 / $64.31 / $86.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.49 / $123.88 / $432.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.67 / $32.09 / $108.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.99 / $283.92 / $345.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.29 / $104.59 / $104.73
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.31 / $259.08 / $325.17
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.46 / $82.46 / $112.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.08 / $134.28 / $299.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.09 / $35.72 / $82.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.06 / $70.20 / $136.16