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South Carolina rates for HCPCS J9017

Injection, arsenic trioxide, 1 mg

Facilitymedian $14 · 10th–90th $7–$720%10%20%10th90th$14Professionalmedian $7 · 10th–90th $7–$130%50%90th$7$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
$7.08 / $11.48 / $31.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $12.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $53.70 / $112.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.92 / $26.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $16.22
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $6.76
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $48.98 / $51.29
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $12.59 / $69.18
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $20.42 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $7.94
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $7.41 / $8.32