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Missouri rates for HCPCS J1190

Injection, dexrazoxane HCl, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.09 / $329.11 / $1,257.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.83 / $64.31 / $329.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.06 / $68.73 / $226.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.06 / $63.06 / $78.83
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 / $281.86 / $999.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.09 / $33.93 / $59.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.06 / $63.69 / $96.17