Arsenic trioxide injection, per 1 mg

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

facility

Payers reporting HCPCS J9017

Payer pricing summary

Low

Average

$650

Median

$400

High

$6.5k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Caresource fee schedule · outpatient · +17 other terms	74	$7	$20	$97	492%	764	$1 – $1.2k
2	UnitedHealthcare fee schedule · outpatient · +28 other terms	626	$10	$54	$311	574%	20	$0 – $6.9k
3	Cigna fee schedule · outpatient · +23 other terms	380	$12	$201	$622	309%	20	$0 – $5.0k
4	Blue Cross Blue Shield fee schedule · outpatient · +28 other terms	380	$30	$86	$233	270%	—	$0 – $4.6k
5	Aetna fee schedule · outpatient · +25 other terms	343	$10	$243	$840	346%	—	$0 – $12.1k
6	Humana fee schedule · outpatient · +23 other terms	289	$8	$284	$693	244%	—	$0 – $8.1k
7	Anthem fee schedule · outpatient · +25 other terms	132	$13	$49	$203	411%	—	$5 – $3.0k
8	Molina fee schedule · outpatient · +25 other terms	100	$8	$80	$258	324%	—	$1 – $2.0k
9	WellCare fee schedule · outpatient · +15 other terms	89	$6	$14	$62	428%	—	$4 – $874
10	MultiPlan fee schedule · outpatient · +16 other terms	76	$1.1k	$1.4k	$1.5k	111%	—	$0 – $7.0k
11	Highmark facility · fee schedule · outpatient · +16 other terms	62	$14	$44	$63	142%	—	$5 – $312
12	Kaiser fee schedule · both · +20 other terms	55	$7	$27	$57	213%	—	$5 – $271
13	Optum facility · fee schedule · outpatient · +20 other terms	42	$7	$18	$31	172%	—	$5 – $129
14	Ambetter facility · fee schedule · outpatient · +16 other terms	36	$11	$12	$5	46%	—	$0 – $25
15	Medica fee schedule · outpatient · +16 other terms	35	$28	$40	$50	125%	—	$2 – $401
16	Oscar facility · fee schedule · outpatient · +14 other terms	32	$7	$6	$1	16%	—	$6 – $13
17	Bcbs Tx fee schedule · outpatient · +3 other terms	31	$150	$141	$73	52%	—	$4 – $280
18	Devoted fee schedule · outpatient · +11 other terms	31	$5	$7	$2	24%	—	$5 – $8
19	Amerihealth Caritas facility · fee schedule · outpatient · +11 other terms	29	$8	$21	$49	239%	—	$7 – $243
20	Tricare facility · fee schedule · outpatient · +16 other terms	29	$8	$1.5k	$1.1k	74%	—	$5 – $4.2k
21	Baylor Scott White Health Plan facility · fee schedule · inpatient · +2 other terms	26	$36	$36	$1	2%	—	$35 – $37
22	First Health fee schedule · outpatient · +16 other terms	25	$1.9k	$1.7k	$1.3k	75%	—	$6 – $6.1k
23	Carefirst facility · fee schedule · both · +10 other terms	23	$77	$413	$739	179%	—	$77 – $3.3k
24	Excellus facility · fee schedule · both · +8 other terms	23	$77	$413	$739	179%	—	$77 – $3.3k
25	Medicaid fee schedule · both · +12 other terms	23	$66	$49	$26	53%	—	$6 – $78

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