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Delaware rates for HCPCS J0288

Injection, amphotericin B cholesteryl sulfate complex, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.84 / $65.84 / $65.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $14.00 / $14.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.80 / $16.00 / $24.00