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Mississippi rates for HCPCS J1190

Injection, dexrazoxane HCl, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $69.18 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $69.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $81.28 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $81.28 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $60.26 / $91.20