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Indiana rates for HCPCS J9017

Injection, arsenic trioxide, 1 mg

Facilitymedian $10 · 10th–90th $7–$210%20%10th90th$10Professionalmedian $7 · 10th–90th $6–$130%50%10th90th$7$5.0$10.0$20.0$50.0$100.0$200.0

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 / $15.49 / $33.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $13.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $9.77 / $14.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $10.47
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $12.30
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $12.59
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $17.78 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $9.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $9.55 / $9.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $7.59 / $11.48