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New Hampshire rates for HCPCS J0287

Injection Amphotericin B Lipid Complex 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $11.54 / $20.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $10.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.28 / $18.54 / $46.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $10.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.72 / $10.30 / $10.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $10.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.81 / $16.73 / $31.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $24.72
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.57 / $20.43 / $26.00