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Missouri rates for HCPCS J0289

Injection, amphotericin B liposome, 10 mg

Facilitymedian $26 · 10th–90th $21–$790%20%10th90th$26Professionalmedian $23 · 10th–90th $20–$620%20%40%10th90th$23$10.0$20.0$50.0$100.0$200.0

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
$20.89 / $61.66 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $20.89 / $61.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $23.99 / $63.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $28.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $42.66 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $60.26 / $131.83
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $22.39 / $27.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $28.18 / $30.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $20.89 / $28.18