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Dexrazoxane Injection

Wisconsin rates for HCPCS J1190

Injection, dexrazoxane HCl, per 250 mg

Rates data updated July 2026.

Facilitymedian $100 · 10th–90th $51$2950%10%10th90th$100Professionalmedian $51 · 10th–90th $50$1350%50%10th90th$51$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
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$114.82
Typical High
$537.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$52.48
Typical High
$147.91
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$112.20
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$63.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$141.25
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$93.33
Typical High
$107.15
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$204.17
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$125.89
Typical High
$125.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$204.17
Medica
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$35.48
Typical High
$125.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$64.57
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$346.74
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$204.17
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$125.89
Typical High
$125.89
Quartz
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$70.79
Typical High
$158.49
Quartz
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$151.36
Typical High
$1,000.00
Quartz
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$154.88
Security Health
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$134.90
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$64.57
Typical High
$85.11