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Utah rates for HCPCS J0285

Amphotericin B

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.58 / $50.36 / $50.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.36 / $50.36 / $50.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.33 / $66.12 / $76.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $43.41 / $43.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.24 / $43.41 / $43.41