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Georgia rates for HCPCS J9017

Arsenic Trioxide IV SOLN 10 MG/10ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.86 / $8.15 / $197.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.86 / $8.15 / $8.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.15 / $13.27 / $29.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.15 / $8.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.15 / $8.15 / $13.04
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.86 / $8.15 / $13.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.69 / $7.69 / $8.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.15 / $10.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $44.07 / $60.59
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $13.86 / $75.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.59 / $10.43