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Arkansas rates for HCPCS J9017

Injection, arsenic trioxide, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.03 / $7.38 / $9.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.09 / $8.23 / $9.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.36 / $6.36 / $6.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $6.36 / $6.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.86 / $8.19 / $11.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.86 / $8.15 / $18.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.69 / $8.15 / $24.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.15 / $8.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.64 / $10.43