go back

Maryland 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 / $10.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $13.80
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $10.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $13.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.49 / $10.30 / $12.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $10.92
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.60 / $9.60 / $9.60