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Utah rates for HCPCS J0287

Injection, amphotericin B lipid complex, 10 mg

Facilitymedian $12 · 10th–90th $10$270%20%40%10th90th$12Professionalmedian $10 · 10th–90th $10$120%50%90th$10$10.0$20.0

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 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $14.79 / $24.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $10.72
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $21.38 / $30.20
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $11.22 / $11.22
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $10.47