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Minnesota rates for HCPCS J0288

Injection, amphotericin B cholesteryl sulfate complex, 10 mg

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $48.98 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $16.98 / $18.62
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $46.77 / $54.95
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $19.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $17.78 / $114.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $15.85 / $21.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $15.85 / $28.84