go back

Oregon rates for HCPCS J0287

Injection Amphotericin B Lipid Complex 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $12.88 / $20.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.40 / $24.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.72 / $9.72 / $20.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $11.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.21 / $22.74 / $47.66
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $14.73 / $28.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $12.17 / $13.39
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $12.88 / $30.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.72 / $13.86 / $28.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $13.13 / $14.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.87 / $19.34 / $42.20
Regence BlueShield
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 / $12.36