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Washington rates for HCPCS J0287

Injection, amphotericin B lipid complex, 10 mg

Facilitymedian $19 · 10th–90th $10$250%10%10th90th$19Professionalmedian $10 · 10th–90th $10$120%50%90th$10$10.0$20.0$50.0

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 / $21.38 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $12.02
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $14.45 / $34.67
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $10.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $20.42 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $10.72
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $11.75 / $19.50
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $10.96 / $38.02
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $11.22
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $14.45 / $34.67
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $10.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $16.98 / $23.99
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.47 / $10.47