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Illinois rates for HCPCS J9017

Injection, arsenic trioxide, 1 mg

Facilitymedian $13 · 10th–90th $7–$830%10%20%10th90th$13Professionalmedian $7 · 10th–90th $7–$410%50%10th90th$7$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $12.30 / $19.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.41 / $25.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $123.03 / $436.52
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $15.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $12.88 / $16.22
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $9.55
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $117.49 / $177.83
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $10.72
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $8.32 / $9.55
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $7.94 / $7.94
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $7.41 / $12.88