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Dexrazoxane Injection

Montana rates for HCPCS J1190

Injection, dexrazoxane HCl, per 250 mg

Rates data updated July 2026.

Facilitymedian $158 · 10th–90th $93$1,1220%20%10th90th$158Professionalmedian $60 · 10th–90th $54$3020%50%10th90th$60$100.0$500.0$2.0K$10.0K$50.0K

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
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$60.26
Typical High
$302.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$977.24
Typical High
$89,125.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$93.33
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$107.15
Typical High
$380.19
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$107.15
Typical High
$380.19
Providence
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$630.96
Providence
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$70.79
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54