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Oregon rates for HCPCS J9017

Injection, arsenic trioxide, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $11.75 / $19.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.41 / $10.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $7.94 / $9.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $8.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $16.60 / $20.42
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $8.71 / $56.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $8.71 / $25.12
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $10.23 / $16.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $11.22 / $70.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $6.46 / $79.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $31.62 / $77.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $8.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $8.51