go back

New Mexico rates for HCPCS J1190

Injection, dexrazoxane HCl, per 250 mg

Facilitymedian $200 · 10th–90th $63–$1,0960%10%10th90th$200Professionalmedian $58 · 10th–90th $58–$870%50%90th$58$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $89.13 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $89.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $741.31 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $50.12
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $141.25 / $141.25
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $181.97 / $218.78
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $50.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $81.28 / $134.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $81.28