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Montana rates for HCPCS J9017

Injection, arsenic trioxide, 1 mg

Facilitymedian $15 · 10th–90th $7$850%20%10th90th$15Professionalmedian $7 · 10th–90th $7$140%50%10th90th$7$5.0$50.0$500.0$5.0K$50.0K$500.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $12.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $194.98 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $6.46 / $9.12
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $14.13 / $47.86
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $14.13 / $47.86
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $26.30 / $77.62
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $6.46 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $11.48