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Indiana rates for HCPCS J0287

Injection Amphotericin B Lipid Complex 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.40 / $25.20 / $46.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.40 / $10.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $20.60 / $27.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $10.30 / $14.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $10.30 / $13.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $12.88
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 / $29.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $13.76