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Colorado rates for HCPCS J0288

Injection, amphotericin B cholesteryl sulfate complex, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.67 / $59.67 / $230.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.67 / $59.67 / $59.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $14.00 / $14.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.48 / $18.48 / $19.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $14.00 / $14.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.00 / $53.70 / $85.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.00 / $77.00 / $77.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.00 / $16.00 / $16.00