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New Jersey rates for HCPCS J0289

Injection, amphotericin B liposome, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.48 / $31.89 / $60.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $21.48 / $21.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.27 / $28.70 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $21.48 / $21.48
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.79 / $1,165.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.62 / $22.62 / $28.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $21.48 / $26.32