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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
$7.59 / $14.79 / $45.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $12.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $6.03 / $6.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $7.41 / $7.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $7.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $8.13 / $54.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $6.17 / $7,079.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.13 / $8.13 / $8.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $7.41 / $8.32