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Wisconsin rates for HCPCS J9017

Injection, arsenic trioxide, 1 mg

Facilitymedian $9 · 10th–90th $6$710%10%20%10th90th$9Professionalmedian $7 · 10th–90th $6$190%50%10th90th$7$5.0$20.0$100.0$500.0$2.0K

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
$7.59 / $10.96 / $3,801.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $12.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $8.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $8.13
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $12.30
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $14.79 / $25.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $9.33 / $15.14
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $70.79
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $16.22 / $89.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $70.79
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $6.46 / $7,079.46
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $16.60 / $16.98
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $4.90 / $19.95
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $12.88 / $28.18
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $85.11 / $602.56
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $30.20 / $7,079.46
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $26.30 / $117.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $11.22
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.41 / $11.48