go back

North Carolina rates for HCPCS J9017

Injection, arsenic trioxide, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.30 / $49.91 / $1,385.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.56 / $38.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.75 / $9.57 / $10.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $6.63 / $73.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.06 / $8.15 / $9.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.15 / $45.49
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.44 / $37.54 / $53.68
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $9.14 / $69.19
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.15 / $13.04 / $23.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.64 / $10.60
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.44 / $547.94 / $608.45
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,072.56 / $7,072.56 / $7,072.56