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Virginia rates for HCPCS J9017

Injection, arsenic trioxide, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $16.60 / $4,466.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $24.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $14.79 / $25.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $12.30
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $9.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $7.41 / $7.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $7.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $7.41 / $43.65
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $51.29
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $10.96 / $60.26
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $45.71
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $9.77 / $43.65
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $9.77 / $43.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $7.94 / $8.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $7.76 / $8.71