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Rhode Island rates for HCPCS J0288

Injection, amphotericin B cholesteryl sulfate complex, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.00 / $52.00 / $52.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.60 / $76.66 / $76.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.45 / $28.45 / $31.61
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 / $14.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.00 / $16.00 / $16.00