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Florida rates for HCPCS J0289

Injection, amphotericin B liposome, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.48 / $39.74 / $956.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $21.48 / $23.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.27 / $21.48 / $25.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $21.48 / $21.48
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.27 / $21.48 / $21.48
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $21.89 / $21.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $21.48 / $37.59
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $22.62 / $22.62