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Idaho rates for HCPCS J0287

Injection Amphotericin B Lipid Complex 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $10.30 / $11.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $11.33 / $12.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.72 / $10.30 / $10.30
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
$11.33 / $13.64 / $21.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $11.93 / $12.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $10.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.24 / $16.70 / $28.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.36 / $12.36 / $12.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $16.48