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Kentucky rates for HCPCS J9017

Injection, arsenic trioxide, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.41 / $14.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $13.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $8.71 / $10.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $7.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $8.51 / $13.18
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.51 / $11.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $48.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.76 / $9.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.76 / $8.32