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Indiana rates for HCPCS J0285

Amphotericin B

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.47 / $117.50 / $155.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $43.85 / $43.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.58 / $86.82 / $130.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.89 / $43.41 / $61.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.41 / $43.41 / $58.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $43.41 / $54.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.41 / $43.41 / $43.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.82 / $43.41 / $134.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $43.41 / $54.00