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Ohio rates for HCPCS J0288

Injection, amphotericin B cholesteryl sulfate complex, 10 mg

Facilitymedian $151 · 10th–90th $87–$1510%50%10th$151Professionalmedian $16 · 10th–90th $10–$190%20%40%10th90th$16$10.0$20.0$50.0$100.0

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
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $64.57
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $17.38 / $20.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $151.36 / $151.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $15.85 / $16.60