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Rhode Island rates for HCPCS J1190

Injection, dexrazoxane HCl, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.95 / $541.26 / $583.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.06 / $63.06 / $65.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.09 / $32.09 / $279.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.06 / $63.06 / $63.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.49 / $63.06 / $63.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.06 / $63.06 / $63.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.06 / $63.06 / $209.71