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New Jersey 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 / $19.18 / $97.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.04 / $13.28 / $75.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.90 / $14.00 / $15.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $14.00 / $14.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.60 / $13.60 / $13.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.00 / $16.00 / $16.88