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Washington, DC rates for HCPCS J0288

Injection, amphotericin B cholesteryl sulfate complex, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.09 / $90.09 / $90.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.09 / $90.09 / $90.09
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $14.00 / $14.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.00 / $14.00 / $14.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.76 / $173.76 / $173.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.56 / $16.00 / $25.93