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Kansas rates for HCPCS J9017

Injection, arsenic trioxide, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.97 / $25.78 / $45.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.09 / $8.32 / $45.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.54 / $15.30 / $91.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.81 / $8.81 / $8.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.69 / $8.15 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.15 / $8.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.86 / $8.71 / $47.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.86 / $6.52 / $7,072.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.64 / $9.69