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New Mexico rates for HCPCS J0288

Injection, amphotericin B cholesteryl sulfate complex, 10 mg

Insurance Carrier
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $13.49 / $15.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $15.85 / $15.85