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Alaska rates for HCPCS J0285

Amphotericin B

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.33 / $62.84 / $222.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.47 / $80.75 / $102.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $43.41 / $43.41
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.47 / $115.47 / $115.47
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $43.41 / $139.78
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.56 / $84.00 / $132.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.78 / $115.47 / $198.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $43.41 / $47.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $65.12 / $87.57