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West Virginia rates for HCPCS J9017

Injection, arsenic trioxide, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.86 / $5.92 / $8.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.15 / $8.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.86 / $8.15 / $12.23
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.72 / $18.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.69 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.15 / $8.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.97 / $44.18