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Missouri rates for HCPCS J0287

Injection Amphotericin B Lipid Complex 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $11.03 / $13.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.61 / $13.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $11.23 / $37.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $12.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.72 / $9.72 / $10.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $10.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $12.68 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.76 / $10.30 / $10.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.76 / $10.30 / $11.92