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Nebraska 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 / $22.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $24.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.75 / $11.66 / $11.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.08 / $11.53 / $11.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.50 / $13.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $11.03 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $11.33
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.36 / $16.57 / $23.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.17 / $13.90 / $24.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.78 / $10.30 / $11.33