go back

North Carolina rates for HCPCS J0287

Injection Amphotericin B Lipid Complex 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.71 / $13.37 / $27.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $11.13 / $18.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.77 / $28.43 / $34.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $17.35
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 / $12.60
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.13 / $12.26 / $13.86
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.65 / $9.65 / $9.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $13.39
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00