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Tennessee rates for HCPCS J9017

Arsenic Trioxide IV SOLN 10 MG/10ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.86 / $10.49 / $2,912.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.21 / $8.15 / $10.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $6.03 / $7.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $8.15 / $8.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.15 / $8.15
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.44 / $547.94 / $608.45
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,072.56 / $7,072.56 / $7,072.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $8.15 / $9.69