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Tennessee rates for HCPCS J0289

Injection, amphotericin B liposome, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $26.92 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $25.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.88 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $131.83 / $131.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $24.55 / $28.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $42.66