go back

South Dakota rates for HCPCS J1190

Injection, dexrazoxane HCl, per 250 mg

Facilitymedian $58 · 10th–90th $58$1150%20%40%90th$58Professionalmedian $63 · 10th–90th $58$740%20%40%10th90th$63$50.0$100.0$200.0$500.0

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 / $57.54 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $72.44
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $83.18 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $74.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $87.10 / $288.40
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $35.48 / $89.13
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $38.90
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $63.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $64.57 / $107.15
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $63.10