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Maine rates for HCPCS J0289

Injection, amphotericin B liposome, 10 mg

Facilitymedian $51 · 10th–90th $28–$510%20%40%10th$51Professionalmedian $21 · 10th–90th $20–$290%50%10th90th$21$20.0$50.0

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
$47.86 / $51.29 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $28.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $26.30 / $72.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $26.92 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $27.54
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $20.89 / $40.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $22.91 / $36.31