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Amphotericin B Cholesteryl Complex Injection

Montana rates for HCPCS J0288

Injection, amphotericin B cholesteryl sulfate complex, 10 mg

Rates data updated July 2026.

How much rates vary

Facilitymedian $126 · 10th to 90th $14 to $129Professionalmedian $126 · 10th to 90th $14 to $129
$20$50$100facility $126professional $126

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$125.89
Typical High
$128.82
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$125.89
Typical High
$128.82