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Massachusetts rates for HCPCS J0289

Injection, amphotericin B liposome, 10 mg

Facilitymedian $29 · 10th–90th $20–$650%20%10th90th$29Professionalmedian $23 · 10th–90th $20–$410%50%10th90th$23$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$19.95 / $32.36 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $40.74
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $57.54 / $75.86
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $22.91 / $53.70
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $45.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $47.86 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $39.81
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $33.11 / $6,918.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $38.90
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $57.54 / $75.86
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $22.91 / $53.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $23.44 / $50.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $22.91 / $53.70