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South Carolina rates for HCPCS J0289

Injection, amphotericin B liposome, 10 mg

Facilitymedian $39 · 10th–90th $21–$870%10%20%10th90th$39Professionalmedian $22 · 10th–90th $20–$340%50%10th90th$22$10.0$20.0$50.0$100.0

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 / $30.20 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $21.88 / $33.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $58.88 / $109.65
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $41.69 / $52.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $32.36 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $29.51 / $67.61
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $23.44 / $38.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $28.18