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Texas rates for HCPCS J9017

Injection, arsenic trioxide, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.92 / $8.42 / $14.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.81 / $8.15 / $9.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.19 / $8.19 / $8.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.58 / $109.22 / $227.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.18 / $5.18 / $5.18
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.15 / $36.29 / $53.52
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.39 / $7.39 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.69 / $8.15 / $8.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.15 / $8.46
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.86 / $8.56 / $46.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.31 / $13.45
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.66 / $8.97 / $72.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.15 / $8.56 / $47.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.15 / $16.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.64 / $9.36
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $8.15 / $11.41