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Minnesota 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 / $45.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $21.48 / $69.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.52 / $31.93 / $60.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.01 / $75.73 / $92.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.97 / $27.90 / $30.15
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.96 / $69.11 / $86.73
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.74 / $23.74 / $32.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.43 / $22.62 / $49.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.62 / $22.62 / $40.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $21.48 / $38.94