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Vermont rates for HCPCS J9017

Arsenic Trioxide IV SOLN 10 MG/10ML

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.09 / $8.15 / $10.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.23 / $9.23 / $9.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.42 / $5.42 / $9.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.15 / $9.03
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.42 / $5.42 / $9.03
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.15 / $9.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.64 / $24.45