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Minnesota rates for HCPCS J9017

Injection, arsenic trioxide, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.15 / $8.15 / $8.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.15 / $9.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.38 / $18.50 / $58.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $6.15 / $16.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.53 / $23.29 / $28.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.92 / $6.19 / $8.15
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.67 / $19.36 / $25.55
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $4.88 / $6.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.86 / $5.86 / $53.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.86 / $6.52 / $149.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.64 / $16.72