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Alabama rates for HCPCS J9017

Injection, arsenic trioxide, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.86 / $8.15 / $4,149.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.15 / $9.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.35 / $319.58 / $429.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.15 / $8.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.15 / $8.15 / $8.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.15 / $9.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.93 / $8.15 / $9.07