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Idaho rates for HCPCS J0285

Amphotericin B

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.11 / $34.11 / $39.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.11 / $43.41 / $54.27
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.28 / $54.27 / $77.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $43.41 / $54.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.07 / $50.07 / $50.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.09 / $52.09 / $54.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $43.41 / $43.41