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Indiana rates for HCPCS J0289

Injection, amphotericin B liposome, 10 mg

Facilitymedian $34 · 10th–90th $21$630%20%10th90th$34Professionalmedian $21 · 10th–90th $20$410%50%10th90th$21$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $56.23 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $40.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $33.88 / $50.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $41.69
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $32.36 / $42.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $63.10 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $28.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $46.77 / $46.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $41.69