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Florida rates for HCPCS J0288

Injection, amphotericin B cholesteryl sulfate complex, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.80 / $13.28 / $52.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.80 / $13.28 / $75.16
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 / $14.00
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.00 / $12.48 / $12.48
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.19 / $15.19 / $15.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.00 / $16.00 / $16.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.11 / $16.11 / $16.11