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California rates for HCPCS J0287

Injection Amphotericin B Lipid Complex 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $20.60 / $24.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.40 / $24.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.56 / $16.45 / $36.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $29.52
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.71 / $12.35 / $23.69
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.49 / $10.49 / $27.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.72 / $9.72 / $10.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $10.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.27 / $12.36 / $23.34
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.72 / $10.30 / $14.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $22.28
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.64 / $16.64 / $16.64
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.24 / $11.33 / $17.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $21.17