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North Carolina rates for HCPCS J0289

Injection, amphotericin B liposome, 10 mg

Facilitymedian $44 · 10th–90th $25$4470%20%10th90th$44Professionalmedian $22 · 10th–90th $20$520%20%40%10th90th$22$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$24.55 / $43.65 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $22.39 / $52.48
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $47.86
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $47.86 / $47.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $33.88 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $25.70
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $26.92 / $32.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $38.90 / $42.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $34.67
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $131.83 / $131.83