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New Hampshire rates for HCPCS J1190

Injection, dexrazoxane HCl, per 250 mg

Facilitymedian $76 · 10th–90th $58–$1950%20%10th90th$76Professionalmedian $58 · 10th–90th $50–$910%50%10th90th$58$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
$57.54 / $64.57 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $60.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $131.83 / $218.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $97.72 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $50.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $83.18 / $95.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $134.90 / $134.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $57.54 / $190.55