go back

Mississippi rates for HCPCS J9017

Arsenic Trioxide IV SOLN 10 MG/10ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.03 / $7.03 / $9.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.23 / $9.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.12 / $17.12 / $17.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.23 / $30.23 / $46.60
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 / $47.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $6.37 / $11.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.50 / $8.15 / $10.76