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Oklahoma rates for HCPCS J0287

Injection Amphotericin B Lipid Complex 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $11.12 / $18.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.12 / $11.12 / $11.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.72 / $9.72 / $10.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.60 / $10.30 / $10.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.18 / $11.12 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $10.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $10.30