go back

Georgia rates for HCPCS J0288

Injection, amphotericin B cholesteryl sulfate complex, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.03 / $75.52 / $75.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.21 / $67.05 / $75.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $14.00 / $15.20
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.39 / $20.39 / $20.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.00 / $16.00 / $16.96