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Virginia rates for HCPCS J0285

Amphotericin B

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.41 / $45.58 / $77.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $45.58 / $45.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $43.41 / $43.41
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.15 / $73.00 / $110.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.95 / $40.95 / $43.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $43.41 / $43.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.90 / $52.09 / $60.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.24 / $52.50 / $72.38
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.00 / $19.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.24 / $48.06 / $57.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.24 / $48.06 / $57.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.11 / $43.41 / $54.48