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Hawaii rates for HCPCS J9017

Injection, arsenic trioxide, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $12.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $9.12
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $9.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $8.91 / $10.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $7.41 / $15.85