go back

Arizona rates for HCPCS J9017

Injection, arsenic trioxide, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $13.80 / $25.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $38.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $13.49 / $29.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $8.13 / $12.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $7.41 / $7.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $7.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $7.41 / $70.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $5.89 / $7,079.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $7.94 / $8.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $7.41 / $8.32