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North Carolina rates for HCPCS J0287

Injection, amphotericin B lipid complex, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $13.49 / $27.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $18.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $29.51 / $35.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $12.02 / $17.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $10.72 / $10.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $10.72 / $12.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $11.75 / $13.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $16.98 / $19.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $10.47 / $13.80
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00