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Florida rates for HCPCS J9017

Injection, arsenic trioxide, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.74 / $13.11 / $611.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.86 / $8.15 / $10.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.15 / $8.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.91 / $8.15 / $44.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.15 / $8.15
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.15 / $8.15 / $34.56
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.30 / $8.61 / $8.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.06 / $44.07 / $64.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.64 / $9.07
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.86 / $5.86 / $8.15