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Kentucky rates for HCPCS J0289

Injection, amphotericin B liposome, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.48 / $21.48 / $36.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $21.48 / $22.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.32 / $25.34 / $42.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.11 / $21.48 / $21.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.48 / $23.63 / $34.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $23.63 / $33.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.48 / $21.48 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $26.73 / $43.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $21.48 / $21.48