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New Jersey rates for HCPCS J1190

Injection, dexrazoxane HCl, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.72 / $75.09 / $384.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.06 / $63.06 / $63.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.06 / $172.51 / $189.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.06 / $63.06 / $63.06
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.95 / $148.01 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.09 / $32.09 / $117.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.06 / $66.53 / $77.28