Price of Arsenic Trioxide IV Solution at NYU Langone
Last Updated: 2024-07-01
Locations
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NYU Langone|Tisch Hospital
550 1st Ave., New York, NY 10016About Arsenic Trioxide IV Solution
Service Codes: LOCAL 5010003, HCPCS J9017
This treatment involves administering arsenic trioxide intravenously to help manage certain types of leukemia, particularly acute promyelocytic leukemia. It works by targeting cancer cells to promote their destruction.
Pricing Overview
Cash Price
$45.70
Median Price
$69.75
Price Range
$24.05 - $175.57
Insurance Plan Prices
| Insurance Provider | Plan Type | Price |
|---|---|---|
| MetroPlus | Essential Plan 1-2, 200-250 | $45.70 |
| EmblemHealth | GHI EPO | $96.20 |
| EmblemHealth | Select Care Platinum Exchange | $69.75 |
| EmblemHealth | GHI Medicare Supplement | $96.20 |
| EmblemHealth | GHI Medicare PPO | $96.20 |
| UnitedHealthcare - Oxford | Metro | $24.05 |
| MultiPlan | PHCS Director Guild | $175.57 |
| EmblemHealth | HIP Prime Basic | $69.75 |
| EmblemHealth | HIP Access I | $69.75 |
| Maksin Group | Consolidated Health Plan (Home-based only) | $76.96 |
| MultiPlan | Fiserv Health | $175.57 |
| Aetna | HMO | $72.15 |
| Aetna | Open Access Elect Choice EPO | $72.15 |
| MagnaCare | JIB Employees Security Fund | $57.72 |
| MetroPlus | Essential Plan 2 | $45.70 |
| Cigna | PPO | $76.96 |
| MultiPlan | Nippon Life | $175.57 |
| EmblemHealth | Prime Bronze | $69.75 |
| Aetna | Meritain Health | $72.15 |
| Aetna | Christian Brothers ASA PPO | $72.15 |
| MetroPlus | Essential Plan 3 | $31.27 |
| EmblemHealth | WLNY-TV | $96.20 |
| EmblemHealth | HIP VIP Medicare Affinity | $69.75 |
| EmblemHealth | GHI Medicare HMO | $96.20 |
| MultiPlan | PHCS Savility | $175.57 |
| EmblemHealth | Select Care Healthcare Partners | $69.75 |
| EmblemHealth | HIP Optum Health | $69.75 |
| MultiPlan | Global Health Management | $175.57 |
| MetroPlus | Gold | $48.10 |
| EmblemHealth | HIP Montefiore | $69.75 |
| MagnaCare | Independent Care Plus | $57.72 |
| EmblemHealth | Select Care Gold Exchange | $69.75 |
| UnitedHealthcare | Golden Rule Insurance | $24.05 |
| EmblemHealth | HIP EPO | $69.75 |
| MultiPlan | PHP Healthcare (Champus) | $175.57 |
| MetroPlus | Essential Plan 1 | $45.70 |
| MagnaCare | JIB Members | $57.72 |
| EmblemHealth | HIP HMO | $69.75 |
| UnitedHealthcare | POMCO (UMR) | $24.05 |
| MultiPlan | Administrative Concepts | $175.57 |
| EmblemHealth | GHI Comprehensive Benefits Plan (CBP) | $96.20 |
| UnitedHealthcare | Independent | $24.05 |
| MagnaCare | Direct Plus Preferred | $57.72 |
| MultiPlan | Mutual of Omaha | $175.57 |
| Cigna | NALC PPO | $76.96 |
| EmblemHealth | Select Care Catastrophic Exchangeu00a0 | $69.75 |
| UnitedHealthcare | PPO | $24.05 |
| MetroPlus | PlatinumPlus | $74.56 |
| EmblemHealth | HIP compre health | $69.75 |
| Cigna | Open Access | $76.96 |
| Cigna | Open Access PPO | $76.96 |
| EmblemHealth | Prime Silver | $69.75 |
| MetroPlus | GoldPlus | $74.56 |
| EmblemHealth | GHI Behavioral Management Program | $96.20 |
| Aetna | Student Health | $72.15 |
| EmblemHealth | Healthcare Partners Essential Plan 3-4 | $69.75 |
| EmblemHealth | HIP VIP Medicare Montefiore | $69.75 |
| Cigna | Great West HMO | $76.96 |
| MultiPlan | AXA Global Insurance | $175.57 |
| UnitedHealthcare | Optum Health | $24.05 |
| EmblemHealth | Enhanced Care (Medicaid) | $69.75 |
| EmblemHealth | Select Care Silver Exchange | $69.75 |
| Cigna | Wellfleet Student | $76.96 |
| MultiPlan | Capital District Physicians Health Plan | $175.57 |
| UnitedHealthcare | Student Resources | $24.05 |
| EmblemHealth | Essential Plan 3 | $69.75 |
| UnitedHealthcare | Core | $24.05 |
| EmblemHealth | HIP VIP Medicare Reserve | $69.75 |
| UnitedHealthcare | Choice (NY Power Authority) | $24.05 |
| Aetna | Global National Transplant | $72.15 |
| EmblemHealth | HIP VIP Medicare Bold | $69.75 |
| Cigna | Great West PPO | $76.96 |
| Cigna | Open Access HMO | $76.96 |
| UnitedHealthcare | Navigate | $24.05 |
| Aetna | Allied ASA PPO | $72.15 |
| Health Net | PPO | $175.57 |
| MagnaCare | Direct Plus | $57.72 |
| MetroPlus | Medicaid Managed Care | $31.27 |
| UnitedHealthcare | Charter | $24.05 |
| EmblemHealth | GHI composite | $96.20 |
| EmblemHealth | CMO Essential Plan 2 | $69.75 |
| EmblemHealth | Select Care Basic Exchange | $69.75 |
| MetroPlus | MedPlus | $74.56 |
| EmblemHealth | HIP PPO | $69.75 |
| Aetna | Indemnity | $72.15 |
| Aetna | Starmark ASA PPO | $72.15 |
| EmblemHealth | Healthcare Partners Essential Plan 1-2 | $69.75 |
| MagnaCare | PPO | $57.72 |
| MagnaCare | Capital District Physicians Health Plan | $57.72 |
| MagnaCare | American Plan Administrators | $57.72 |
| EmblemHealth | Essential Plan 2 | $69.75 |
| EmblemHealth | HIP compre health epo | $69.75 |
| MetroPlus | Essential Plan 4 | $31.27 |
| EmblemHealth | IUOE Local 14-14B | $96.20 |
| MagnaCare | National Health Plan | $57.72 |
| Aetna | Signature Administrators PPO | $72.15 |
| MultiPlan | Screen Actors Guild | $175.57 |
| MultiPlan | Meritain Health | $175.57 |
| Aetna | Coresource ASA PPO | $72.15 |
| EmblemHealth | HIP Access II | $69.75 |
| UnitedHealthcare | Choice (North Shore - LIJ) | $24.05 |
| EmblemHealth | CMO Essential Plan 3 | $69.75 |
| EmblemHealth | Bridge | $69.75 |
| UnitedHealthcare | POMCO (UMR) | $175.57 |
| EmblemHealth | HIP POS | $69.75 |
| EmblemHealth | Healthcare Partners Essential Plan 1, 200-250 | $69.75 |
| MultiPlan | PPO | $175.57 |
| Aetna | POS | $72.15 |
| Cigna | Premier Plus | $76.96 |
| MultiPlan | Kaiser Permanente | $175.57 |
| UnitedHealthcare | EPO | $24.05 |
| EmblemHealth | GHI PPO | $96.20 |
| Cigna | Indemnity | $76.96 |
| MultiPlan | Diversified Admin Corp | $175.57 |
| MagnaCare | Cement & Concrete Workers District Council | $57.72 |
| EmblemHealth | VIP Prime HMO Medicare Advantage | $69.75 |
| EmblemHealth | CMO Essential Plan 4 | $69.75 |
| EmblemHealth | HIP Long Island College Hospital (LICH) | $69.75 |
| MultiPlan | US Life Insurance Co | $175.57 |
| Cigna | LifeSOURCE | $76.96 |
| EmblemHealth | GHI HMO | $96.20 |
| MetroPlus | SilverPlus | $74.56 |
| EmblemHealth | HIP Healthcare Partners HMO | $69.75 |
| UnitedHealthcare | HMO | $24.05 |
| EmblemHealth | Select Care Bronze Small Group | $69.75 |
| EmblemHealth | Enhanced Care (Medicaid) Montefiore | $69.75 |
| EmblemHealth | American Plan Administrators c/o H.D.A | $96.20 |
| EmblemHealth | Enhanced Care (Medicaid) Healthcare Partners | $69.75 |
| Cigna | Cigna Managed Care/POS | $76.96 |
| Aetna | Open Access HMO | $72.15 |
| MultiPlan | Healthnet of California | $175.57 |
| EmblemHealth | Healthcare Partners Essential Plans | $69.75 |
| EmblemHealth | Essential Plan 4 | $69.75 |
| EmblemHealth | American Plan Administrators | $96.20 |
| MultiPlan | PHCS | $175.57 |
| Aetna | Wellnet ASA PPO | $72.15 |
| UnitedHealthcare | Choice | $24.05 |
| Cigna | HMO | $76.96 |
| Cigna | MVP-Cigna Network | $76.96 |
| MetroPlus | Child Health Plus (CHP) | $31.27 |
| MultiPlan | Teamsters Allied Benefits | $175.57 |
| MultiPlan | Humana Health Plan | $175.57 |
| EmblemHealth | HIP Medicare Supplement | $69.75 |
| MultiPlan | Principal Financial Group | $175.57 |
| MetroPlus | Essential Plan 3-4 | $31.27 |
| MultiPlan | QualCare Inc | $175.57 |
| EmblemHealth | Select Care Silver Small Group | $69.75 |
| EmblemHealth | Prime Platinum | $69.75 |
| EmblemHealth | Healthcare Partners Essential Plan 2 | $69.75 |
| UnitedHealthcare - Oxford | Optum Health | $24.05 |
| EmblemHealth | Healthcare Partners Essential Plan 3 | $69.75 |
| EmblemHealth | HIP SmartStart | $69.75 |
| MultiPlan | Paramount Insurance | $175.57 |
| EmblemHealth | Vytra HMO | $69.75 |
| MetroPlus | BronzePlus | $74.56 |
| Cigna | Tufts Health Plan | $76.96 |
| EmblemHealth | Select Care HMO | $69.75 |
| UnitedHealthcare - Oxford | Liberty | $24.05 |
| GEHA | All Plans | $72.15 |
| MultiPlan | Guardian Life Insurance Co | $175.57 |
| EmblemHealth | Select Care PPOu00a0 | $69.75 |
| First Health | PPO | $175.57 |
| EmblemHealth | HIP | $69.75 |
| Humana | All Commercial Plans | $175.57 |
| Aetna | Chesterfield Resources ASA PPO | $72.15 |
| Aetna | PPO | $72.15 |
| Cigna | Evernorth Behavioral Health | $76.96 |
| MultiPlan | Global Excel Management | $175.57 |
| UnitedHealthcare - Oxford | Freedom | $24.05 |
| MetroPlus | GoldCare 2 | $48.10 |
| EmblemHealth | Essential Plan 1, 200-250 | $69.75 |
| EmblemHealth | HIP VIP Medicare Healthcare Partners | $69.75 |
| UnitedHealthcare | POS | $24.05 |
| EmblemHealth | Select Care EPO | $69.75 |
| EmblemHealth | Select Care Bronze Exchange | $69.75 |
| EmblemHealth | Prime Gold | $69.75 |
| Aetna | Nippon Life ASA PPO | $72.15 |
| EmblemHealth | Select Care Platinum Small Group | $69.75 |
| Aetna | Healthscope ASA PPO | $72.15 |
| EmblemHealth | HIP Child Health Plus | $69.75 |
| EmblemHealth | CMO Essential Plan 1 | $69.75 |
| EmblemHealth | Healthcare Partners Essential Plan 4 | $69.75 |
| EmblemHealth | Select Care Gold Small Group | $69.75 |