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Maryland rates for HCPCS J0285

Amphotericin B

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.11 / $34.11 / $34.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.83 / $43.41 / $45.72
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.11 / $34.11 / $43.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $43.41 / $55.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $43.41 / $54.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $43.41 / $46.01
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.07 / $50.07 / $50.07