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West Virginia rates for HCPCS J0285

Amphotericin B

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.47 / $43.85 / $52.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.47 / $43.41 / $43.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.41 / $65.12 / $65.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.95 / $43.41 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $43.41 / $88.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $43.41 / $60.00