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New Mexico rates for HCPCS J0287

Injection Amphotericin B Lipid Complex 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $16.05 / $16.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $13.08 / $24.52
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 / $10.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.86 / $11.86 / $11.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.60 / $11.41 / $19.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $10.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $10.30