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Oregon rates for HCPCS J9017

Arsenic Trioxide IV SOLN 10 MG/10ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.86 / $10.19 / $24.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.03 / $8.15 / $24.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $7.96 / $9.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.15 / $9.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.98 / $12.68 / $15.22
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.86 / $17.52 / $64.73
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.97 / $15.78
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.86 / $8.97 / $29.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.15 / $16.79 / $59.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.85 / $9.23 / $23.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.27 / $24.64 / $77.06
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.15 / $8.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.15 / $9.44