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Massachusetts 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 / $42.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $22.34 / $27.14
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.90 / $57.57 / $132.80
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $21.48 / $53.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.05 / $27.41 / $58.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.48 / $21.48 / $21.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $21.48 / $21.48
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.07 / $53.00 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $21.48 / $44.61
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $132.80
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $21.48 / $53.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $21.48 / $53.72