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Mississippi rates for HCPCS J0287

Injection Amphotericin B Lipid Complex 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.81 / $12.36 / $12.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.81 / $13.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.44 / $9.44 / $9.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $10.30 / $12.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $10.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.89 / $10.30 / $13.18