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Vermont rates for HCPCS J0287

Injection, amphotericin B lipid complex, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $17.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.66 / $11.66 / $11.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.72 / $11.66 / $19.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $10.30
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.72 / $11.66 / $19.43
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $10.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $10.71