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Oregon rates for HCPCS J9017

Injection, arsenic trioxide, 1 mg

Facilitymedian $11 · 10th–90th $7–$510%20%10th90th$11Professionalmedian $7 · 10th–90th $6–$160%50%10th90th$7$5.0$50.0$500.0$5.0K$50.0K$500.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $11.75 / $19.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $12.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $7.94 / $13.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $7.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $16.60 / $20.42
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $7.94 / $57.54
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $8.13 / $22.39
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $9.33 / $16.98
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $10.47 / $67.61
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $6.46 / $79.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $31.62 / $77.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $7.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $7.41 / $8.91