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Nebraska rates for HCPCS J0285

Amphotericin B

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.11 / $52.50 / $95.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.11 / $43.41 / $102.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.86 / $46.69 / $49.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.70 / $46.68 / $49.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $51.00 / $63.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.37 / $64.83 / $221.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.11 / $34.11 / $50.07
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.81 / $60.08 / $65.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.70 / $50.22 / $97.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.24 / $43.41 / $47.75