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South Carolina rates for HCPCS J0287

Injection Amphotericin B Lipid Complex 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.81 / $10.81 / $43.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.81 / $11.13 / $16.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.86 / $36.02 / $63.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.34 / $12.60 / $14.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.72 / $10.30 / $10.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $10.30
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.81 / $12.60 / $29.08
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.80 / $16.80 / $16.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $10.30