go back

Utah rates for HCPCS J0285

Injection, amphotericin B, 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $42.66 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $70.79 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $43.65 / $43.65
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $45.71 / $50.12
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $43.65 / $52.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $43.65 / $43.65