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Washington, DC rates for HCPCS J9017

Arsenic Trioxide IV SOLN 10 MG/10ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.15 / $19.72 / $42.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.15 / $9.05
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.86 / $5.86 / $8.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.69 / $7.69 / $8.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.19 / $8.15 / $8.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.93 / $8.15 / $39.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $9.07 / $12.00