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Texas rates for HCPCS J0287

Injection Amphotericin B Lipid Complex 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $15.60 / $22.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.40 / $16.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $26.40 / $55.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.82 / $10.82 / $10.82
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.82 / $14.26 / $15.17
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.72 / $9.77 / $18.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.72 / $10.30 / $15.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $10.30 / $11.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $10.30
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.50 / $13.91