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Washington rates for HCPCS J9017

Injection, arsenic trioxide, 1 mg

Facilitymedian $12 · 10th–90th $6$1000%10%10th90th$12Professionalmedian $7 · 10th–90th $6$400%50%10th90th$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 / $14.79 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $12.88
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $16.60 / $51.29
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $7.08 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $9.77 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $7.94
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $7.41 / $104.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $7.41 / $107.15
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.91 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $16.98
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $12.30 / $53.70
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $8.91 / $8.91
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $16.98 / $43.65
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $7.08 / $7.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.09 / $7.94 / $11.22
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $7.41 / $11.48
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $8.32