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New Jersey rates for HCPCS J0287

Injection Amphotericin B Lipid Complex 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $14.52 / $28.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $10.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $13.17 / $15.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $10.30
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $1,165.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.69 / $10.69 / $10.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $12.60