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Arkansas rates for HCPCS J0288

Injection, amphotericin B cholesteryl sulfate complex, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.60 / $13.60 / $13.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.28 / $13.28 / $13.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.25 / $43.25 / $43.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.25 / $43.25 / $43.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.00 / $14.00 / $20.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $14.00 / $14.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $16.00 / $16.00