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Arizona rates for HCPCS J0285

Amphotericin B

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.45 / $61.94 / $130.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.54 / $45.05 / $102.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.90 / $154.88 / $259.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.71 / $33.03 / $276.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.95 / $43.41 / $43.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $43.41 / $43.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.50 / $45.05 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.11 / $34.11 / $34.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $43.41 / $43.41