go back

South Carolina rates for HCPCS J1190

Injection, dexrazoxane HCl, per 250 mg

Facilitymedian $170 · 10th–90th $60–$5370%10%10th90th$170Professionalmedian $63 · 10th–90th $58–$1660%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
$60.26 / $89.13 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $63.10 / $165.96
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $389.05 / $691.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $75.86 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $50.12
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $165.96 / $331.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
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 / $61.66 / $97.72