go back

Wisconsin rates for HCPCS J0285

Amphotericin B

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.15 / $66.53 / $78.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $44.71 / $102.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.26 / $54.26 / $54.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $43.41 / $55.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.43 / $59.43 / $69.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.41 / $118.84 / $169.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.88 / $16.91 / $63.75
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.15 / $34.11 / $95.52
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.27 / $86.82 / $86.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.15 / $34.11 / $74.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.11 / $34.11 / $71.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.07 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.15 / $34.11 / $95.52
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.27 / $86.82 / $86.82
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $58.29 / $155.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.08 / $221.08 / $221.08
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $43.41 / $43.41
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.11 / $34.11 / $34.11
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.59 / $60.95 / $64.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $43.41 / $60.00