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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
$5.86 / $8.15 / $13.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.15 / $9.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.23 / $9.61 / $16.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.15 / $8.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.86 / $8.51 / $13.04
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.56 / $11.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.15 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.86 / $8.15 / $53.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $5.86 / $8.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.61 / $9.07