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Delaware rates for HCPCS J0289

Injection, amphotericin B liposome, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $52.73 / $52.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $21.48 / $21.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $32.22 / $61.94