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Mississippi rates for HCPCS J0288

Ampho B Cholesteryl Sulfate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.41 / $76.54 / $77.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.41 / $68.54 / $77.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.80 / $12.80 / $14.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.00 / $14.00 / $15.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $14.00 / $14.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.36 / $16.00 / $20.48