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Michigan rates for HCPCS J9017

Injection, arsenic trioxide, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $8.40 / $11.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $8.15 / $8.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.46 / $17.77 / $33.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.29 / $1.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.86 / $8.15 / $11.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.74 / $8.15 / $18.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $8.15 / $9.23
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.84 / $11.76 / $45.36
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $8.15 / $10.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $6.73 / $10.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $9.07 / $10.43