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West Virginia rates for HCPCS J0287

Injection, amphotericin B lipid complex, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.96 / $10.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $10.72 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $43.65 / $43.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $10.47 / $12.59