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Alaska rates for HCPCS J0287

Injection, amphotericin B lipid complex, 10 mg

Facilitymedian $20 · 10th–90th $17–$590%20%10th90th$20Professionalmedian $10 · 10th–90th $10–$260%50%10th90th$10$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $58.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $26.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $10.72
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $24.55 / $58.88
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.96 / $60.26
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $27.54
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $24.55
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $10.72 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $15.85 / $239.88