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New York rates for HCPCS J9017

Injection, arsenic trioxide, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $9.77 / $21.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $15.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $7.41
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $12.88 / $13.49
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $12.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $6.92 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $9.55
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $7.94 / $21.88
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.92 / $9.55
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $8.13 / $8.51
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.51 / $8.51
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $7.41 / $9.77
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $8.13 / $9.77
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.51 / $8.51