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Nebraska rates for HCPCS J9017

Injection, arsenic trioxide, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.86 / $8.15 / $18.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.23 / $97.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.52 / $8.85 / $8.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.82 / $9.50 / $10.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $7.38 / $16.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.86 / $9.90 / $47.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $5.86 / $44.18
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $7.21 / $52.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.84 / $17.51 / $106.41
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.19 / $9.53 / $98.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.15 / $9.69