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Missouri rates for HCPCS J9017

Injection, arsenic trioxide, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.86 / $45.49 / $61.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.32 / $45.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.15 / $8.72 / $29.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.19 / $10.35
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 / $10.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.86 / $8.96 / $55.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.30 / $6.21 / $7,072.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.15 / $9.69