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Illinois rates for HCPCS J0285

Amphotericin B

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.11 / $68.92 / $114.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.11 / $43.41 / $45.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.20 / $76.20 / $545.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.41 / $43.41 / $43.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $43.41 / $43.41
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.29 / $48.35 / $80.03
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.43 / $56.43 / $56.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $43.41 / $51.00