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Rhode Island rates for HCPCS J9017

Injection, arsenic trioxide, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.49 / $26.49 / $26.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.23 / $8.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.86 / $5.86 / $38.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.15 / $8.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.15 / $8.15 / $8.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.15 / $8.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.15 / $9.07