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Amphotericin B Liposome Injection

New Hampshire rates for HCPCS J0289

Injection, amphotericin B liposome, 10 mg

Rates data updated July 2026.

How much does Amphotericin B Liposome Injection cost?

$22.91per 10 mg

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $22.91 for each 10 mg of this drug. The price depends on where it is billed: about $22.91 from a physician practice, and about $37.15 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 10 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$22.91
At a hospital outpatient department
$37.15

The same drug, in the same amount, costs 62% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$22.91$22.91 to $25.70
FacilityA hospital or hospital-owned outpatient department$37.15$25.70 to $81.28

How much rates vary

Facilitymedian $37 · 10th to 90th $23 to $89Professionalmedian $23 · 10th to 90th $21 to $43
$20$50$100facility $37professional $23

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$25.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$25.70
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$60.26
Typical High
$100.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$22.91
Typical High
$25.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$44.67
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$22.91
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$38.02
Typical High
$43.65
United
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
United
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$45.71

Where New Hampshire sits

The same service costs 2.9 times more in Delaware than in North Dakota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New Hampshire· 49th of 51

$22.91

DE $66.07ND $22.91

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.