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Utah rates for HCPCS J9017

Injection, arsenic trioxide, 1 mg

Facilitymedian $9 · 10th–90th $8–$200%20%40%10th90th$9Professionalmedian $7 · 10th–90th $7–$100%50%90th$7$5.0$10.0$20.0$50.0$100.0$200.0

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
$7.94 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $9.77
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $9.77 / $11.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $6.46
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $8.13 / $60.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $13.80 / $34.67
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $9.33
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.76 / $56.23
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $6.46 / $58.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $8.32