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North Carolina 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 / $18.32 / $59.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.32 / $59.78 / $75.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.24 / $41.18 / $43.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.60 / $12.60 / $12.60
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 / $16.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.36 / $59.78 / $63.37
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $14.00 / $14.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.00 / $16.00 / $20.80
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.72 / $140.72 / $401.76