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Washington, DC rates for HCPCS J0289

Injection, amphotericin B liposome, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.48 / $63.79 / $85.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $21.48 / $21.48
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.49 / $33.68 / $56.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.27 / $20.27 / $21.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.26 / $18.26 / $21.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.55 / $21.48 / $34.81