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Louisiana rates for HCPCS J9017

Injection, arsenic trioxide, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.92 / $8.78 / $16.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.09 / $8.15 / $9.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.27 / $7.90 / $41.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.27 / $5.27 / $5.38
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.69 / $7.69 / $8.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.15 / $8.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.34 / $8.15 / $10.19