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Michigan rates for HCPCS J0287

Injection Amphotericin B Lipid Complex 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.61 / $10.61 / $33.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.61 / $12.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.73 / $22.93 / $43.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.97 / $10.49 / $10.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.41 / $10.30 / $11.78
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $13.26 / $29.52
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.61 / $12.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.84 / $11.84 / $11.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $10.93