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Kentucky 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 / $64.79 / $68.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.80 / $67.54 / $68.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.27 / $54.64 / $54.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $12.00 / $14.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.13 / $64.15 / $111.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.06 / $62.13 / $62.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.00 / $14.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $14.00 / $341.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.00 / $16.00 / $17.14