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Washington rates for HCPCS J0287

Injection Amphotericin B Lipid Complex 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.33 / $21.12 / $34.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $11.33 / $21.62
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $16.70 / $32.28
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $12.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.72 / $9.72 / $24.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $12.63
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $12.88 / $30.90
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.91 / $17.80 / $31.16
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.69 / $11.34 / $12.60
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $13.36 / $32.28
Regence BlueShield
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 / $10.30