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Ohio rates for HCPCS J9017

Injection, arsenic trioxide, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $14.79 / $20.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.41 / $15.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $15.85 / $47.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $8.51 / $13.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $8.13 / $12.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.13 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $6.92 / $7.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $14.45
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $7.41 / $85.11
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $39.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $8.91 / $11.48
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $8.32 / $14.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $8.13 / $8.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $7.41 / $8.32