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Massachusetts rates for HCPCS J0288

Injection, amphotericin B cholesteryl sulfate complex, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.60 / $13.60 / $32.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.60 / $13.60 / $13.60
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.72 / $140.72 / $401.76
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.60 / $16.00 / $24.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.02 / $17.86 / $38.08
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.72 / $140.72 / $401.76
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.60 / $16.00 / $24.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.60 / $16.00 / $22.40