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Utah rates for HCPCS J0287

Injection Amphotericin B Lipid Complex 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.95 / $11.95 / $11.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.95 / $11.95 / $11.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.00 / $14.71 / $24.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $10.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.52 / $22.48 / $32.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $10.30