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Massachusetts rates for HCPCS J9017

Injection, arsenic trioxide, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.15 / $8.15 / $11.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.15 / $8.48
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.37 / $27.00 / $988.87
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.56 / $7,072.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.74 / $10.01 / $19.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $13.41 / $16.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $8.15 / $8.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.15 / $8.15
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.97 / $53.00 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.15 / $8.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.15 / $9.43
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.51 / $131.51 / $131.51
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.44 / $608.45 / $608.45
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.64 / $7,072.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.64 / $24.13