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Texas rates for HCPCS J0285

Amphotericin B

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.94 / $74.45 / $136.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $43.85 / $47.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.96 / $91.96 / $189.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.95 / $43.41 / $43.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $43.41 / $43.41
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $221.08 / $221.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.84 / $43.41 / $63.94
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $43.41 / $90.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.76 / $43.41 / $62.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.96 / $43.41 / $78.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $43.41 / $43.41
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.11 / $50.07 / $58.60