go back

Wisconsin rates for HCPCS J0287

Injection, amphotericin B lipid complex, 10 mg

Facilitymedian $15 · 10th–90th $10$310%20%40%10th90th$15Professionalmedian $10 · 10th–90th $10$270%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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $15.49 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $16.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $22.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $26.92 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $13.18 / $16.98
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $10.23 / $22.91
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $20.42 / $20.42
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $10.23 / $22.91
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $16.60
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $11.75 / $24.55
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $25.12 / $36.31
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $10.72
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $16.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $23.99
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $14.45