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Massachusetts 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 / $20.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.71 / $12.36
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.31 / $27.60 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $17.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.05 / $13.14 / $28.02
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.26 / $53.00 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $21.39
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $15.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $14.42