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Virginia rates for HCPCS J0287

Injection Amphotericin B Lipid Complex 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $11.80 / $23.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.81 / $10.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $21.73 / $35.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $10.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.72 / $9.72 / $10.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $10.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.76 / $12.36 / $15.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $11.03 / $24.72
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $13.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.78 / $10.30 / $13.18
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.78 / $10.30 / $13.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.99 / $10.30 / $12.60