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Mississippi rates for HCPCS J0289

Amphotericin B Liposome Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.56 / $25.78 / $27.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $22.56 / $29.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.92 / $28.92 / $28.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.68 / $21.48 / $21.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $21.48 / $21.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.62 / $21.48 / $27.92