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Iowa rates for HCPCS J0285

Amphotericin B

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.50 / $52.50 / $95.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $52.50 / $102.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.00 / $51.00 / $63.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.29 / $43.41 / $78.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.00 / $52.50 / $65.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.85 / $34.11 / $65.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.00 / $50.22 / $65.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.00 / $50.22 / $75.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $43.41 / $44.71
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.11 / $34.11 / $34.11
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.11 / $34.11 / $34.11