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Oklahoma rates for HCPCS J0289

Injection, amphotericin B liposome, 10 mg

Facilitymedian $22 · 10th–90th $13–$330%20%10th90th$22Professionalmedian $21 · 10th–90th $20–$230%50%10th90th$21$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$20.89 / $22.39 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $28.84
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $19.05 / $31.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $60.26 / $64.57
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 / $26.30 / $75.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $22.39 / $23.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $22.91 / $38.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $23.44