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Kentucky 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 / $17.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $10.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.66 / $12.15 / $20.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $10.30 / $10.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $11.25 / $16.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $11.33 / $15.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $10.30 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.06 / $10.30 / $26.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $10.30