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Amphotericin B Lipid Complex Injection

Wisconsin rates for HCPCS J0287

Injection, amphotericin B lipid complex, 10 mg

Rates data updated July 2026.

Facilitymedian $19 · 10th–90th $10$310%20%10th90th$19Professionalmedian $10 · 10th–90th $10$310%50%10th90th$10$10.0$20.0$50.0$100.0

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
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$20.42
Typical High
$30.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$30.90
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$22.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$25.12
Typical High
$42.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$14.13
Typical High
$16.98
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$10.23
Typical High
$22.91
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$20.42
Typical High
$20.42
Medica
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$10.23
Typical High
$22.91
Medica
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$16.60
Molina
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$11.75
Typical High
$24.55
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$10.23
Typical High
$22.91
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$20.42
Typical High
$20.42
Quartz
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$25.12
Typical High
$33.88
Quartz
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$32.36
Typical High
$100.00
Quartz
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$12.59
Security Health
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$13.80
Typical High
$16.98
United
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$39.81
United
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$14.45