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Alaska rates for HCPCS J0287

Injection Amphotericin B Lipid Complex 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.97 / $18.97 / $67.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.40 / $19.16 / $24.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $10.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.40 / $27.40 / $27.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $33.17
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.64 / $17.64 / $27.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.64 / $25.20 / $41.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $11.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $15.45 / $20.78