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Iowa rates for HCPCS J0285

Injection, amphotericin B, 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $52.48 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $44.67 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $44.67 / $54.95
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $43.65 / $79.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $52.48 / $66.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $33.88 / $66.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $64.57 / $64.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.05 / $83.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $43.65 / $50.12
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $43.65 / $43.65