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New Jersey rates for HCPCS J9017

Injection, arsenic trioxide, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.21 / $8.15 / $20.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.15 / $8.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.15 / $21.91 / $65.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.15 / $8.15
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.46 / $8.85 / $11.04
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $15.45 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $5.86 / $17.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.43 / $18.43 / $18.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.60 / $9.72