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Missouri rates for HCPCS J1190

Injection, dexrazoxane HCl, per 250 mg

Facilitymedian $110 · 10th–90th $50–$1,2590%10%10th90th$110Professionalmedian $59 · 10th–90th $50–$3310%20%40%10th90th$59$50.0$200.0$1.0K$5.0K

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
$57.54 / $346.74 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $60.26 / $331.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $52.48 / $138.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $63.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $109.65 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $50.12
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $281.84 / $1,000.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $32.36 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $97.72 / $109.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $61.66 / $93.33