go back

North Dakota rates for HCPCS J9017

Injection, arsenic trioxide, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $13.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $12.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $7.94 / $8.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.94 / $8.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.59 / $9.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $10.00 / $44.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $6.46 / $75.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $7.41 / $8.51