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Arizona rates for HCPCS J0287

Injection Amphotericin B Lipid Complex 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.02 / $18.69 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.33 / $12.46 / $24.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.97 / $35.65 / $55.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.85 / $9.97 / $65.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $10.30 / $10.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $10.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.51 / $16.20 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $10.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $10.30