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Kansas rates for HCPCS J0289

Injection, amphotericin B liposome, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.07 / $61.14 / $99.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $23.20 / $61.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.38 / $31.54 / $35.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.22 / $23.22 / $23.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.27 / $20.27 / $21.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $21.48 / $21.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.62 / $31.66 / $61.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.62 / $22.62 / $36.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $21.48 / $36.52