go back

Wyoming rates for HCPCS J0285

Amphotericin B

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.11 / $34.11 / $34.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.11 / $34.11 / $43.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.00 / $60.00 / $60.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.95 / $40.95 / $40.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $43.41 / $61.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $43.41 / $43.41