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New York rates for HCPCS J0287

Injection, amphotericin B lipid complex, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $12.59 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $13.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $10.47 / $12.02
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $9.55 / $10.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $9.55 / $9.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.72 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $10.72 / $43.65
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $12.59 / $35.48
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $10.72 / $13.18
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.23 / $10.23 / $10.72
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $10.23 / $10.72
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $50,118.72 / $75,857.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $10.47 / $15.14
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.23 / $10.23 / $12.30
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $10.72 / $12.30