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Alabama rates for HCPCS J0288

Ampho B Cholesteryl Sulfate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.54 / $68.54 / $68.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.62 / $68.54 / $68.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.43 / $135.22 / $181.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $12.00 / $12.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.00 / $14.00 / $14.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $14.00 / $26.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.00 / $16.00 / $16.00