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Texas rates for HCPCS J0287

Injection, amphotericin B lipid complex, 10 mg

Facilitymedian $17 · 10th–90th $10–$500%10%20%10th90th$17Professionalmedian $10 · 10th–90th $10–$160%50%90th$10$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $15.49 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $15.85
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $26.30 / $56.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $10.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $25.12 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $10.72
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $14.79 / $20.89
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $18.62
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $10.72
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $14.79 / $33.88
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $10.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $10.96 / $16.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.47 / $10.47