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Michigan rates for HCPCS J0285

Amphotericin B

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.15 / $44.71 / $109.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.15 / $43.41 / $44.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.66 / $96.67 / $182.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.02 / $44.23 / $44.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.57 / $43.41 / $43.41
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.41 / $60.00 / $97.80
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.15 / $43.41 / $52.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.23 / $49.92 / $57.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $43.41 / $46.05