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North Dakota rates for HCPCS J9017

Arsenic Trioxide IV SOLN 10 MG/10ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.15 / $8.15 / $10.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.15 / $9.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.85 / $8.89 / $9.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.55 / $8.89 / $9.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $6.09 / $8.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.86 / $12.97 / $44.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $6.52 / $7,072.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $9.07 / $10.16