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Nebraska rates for HCPCS J0288

Injection, amphotericin B cholesteryl sulfate complex, 10 mg

Facilitymedian $129 · 10th–90th $16–$3890%10%20%10th90th$129Professionalmedian $16 · 10th–90th $15–$180%50%10th90th$16$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $18.20
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $128.82 / $389.05
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $17.78
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $117.49 / $186.21
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85