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North Carolina rates for HCPCS J0285

Amphotericin B

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.07 / $51.00 / $107.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.58 / $46.32 / $51.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.03 / $84.44 / $103.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.84 / $33.84 / $34.11
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 / $60.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.32 / $51.66 / $66.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.76 / $12.76 / $12.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $43.41 / $56.43
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $221.08