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North Carolina rates for HCPCS J1190

Injection, dexrazoxane HCl, per 250 mg

Facilitymedian $372 · 10th–90th $110–$1,0960%10%10th90th$372Professionalmedian $63 · 10th–90th $58–$2820%20%40%10th90th$63$50.0$100.0$200.0$500.0$1.0K

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
$123.03 / $446.68 / $1,096.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $64.57 / $281.84
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $91.20 / $125.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $263.03 / $263.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $87.10 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $56.23
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $58.88 / $199.53
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $134.90 / $151.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $61.66 / $104.71
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,000.00 / $1,000.00