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Wyoming rates for HCPCS J9017

Injection, arsenic trioxide, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $7.41 / $7.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $45.71 / $45.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $6.92 / $6.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $10.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $8.13 / $9.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $7.41 / $7.76