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Connecticut rates for HCPCS J9017

Injection, arsenic trioxide, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.57 / $9.15 / $22.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.09 / $8.15 / $8.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.39 / $13.80 / $222.97
Anthem 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 / $8.15
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.46 / $8.84 / $11.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $8.15 / $9.07