Price of Amphotericin B Liposome IV Suspension 50 mg at NYU Langone
Last Updated: 2024-07-01
Locations
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NYU Langone|Tisch Hospital
550 1st Ave., New York, NY 10016About Amphotericin B Liposome IV Suspension 50 mg
Service Codes: HCPCS J0289, LOCAL 5010001
This procedure involves administering a medication called Amphotericin B Liposome through an intravenous (IV) line. It is used to treat serious fungal infections in patients, helping to eliminate the infection and improve health outcomes.
Pricing Overview
Cash Price
$70.44
Median Price
$107.51
Price Range
$37.07 - $270.64
Insurance Plan Prices
| Insurance Provider | Plan Type | Price |
|---|---|---|
| Aetna | Nippon Life ASA PPO | $111.22 |
| UnitedHealthcare | Navigate | $37.07 |
| Aetna | Healthscope ASA PPO | $111.22 |
| Cigna | Tufts Health Plan | $118.64 |
| Humana | All Commercial Plans | $270.64 |
| EmblemHealth | Select Care Catastrophic Exchangeu00a0 | $107.51 |
| UnitedHealthcare | Charter | $37.07 |
| EmblemHealth | Prime Silver | $107.51 |
| MetroPlus | Essential Plan 3 | $48.20 |
| Cigna | Evernorth Behavioral Health | $118.64 |
| EmblemHealth | Healthcare Partners Essential Plan 3-4 | $107.51 |
| UnitedHealthcare | HMO | $37.07 |
| EmblemHealth | HIP VIP Medicare Montefiore | $107.51 |
| EmblemHealth | Enhanced Care (Medicaid) | $107.51 |
| EmblemHealth | Select Care Silver Exchange | $107.51 |
| MultiPlan | Mutual of Omaha | $270.64 |
| EmblemHealth | Essential Plan 3 | $107.51 |
| EmblemHealth | HIP VIP Medicare Reserve | $107.51 |
| MultiPlan | PHCS Director Guild | $270.64 |
| EmblemHealth | HIP VIP Medicare Bold | $107.51 |
| MetroPlus | Essential Plan 1-2, 200-250 | $70.44 |
| Aetna | Christian Brothers ASA PPO | $111.22 |
| Aetna | Allied ASA PPO | $111.22 |
| MultiPlan | AXA Global Insurance | $270.64 |
| Cigna | HMO | $118.64 |
| UnitedHealthcare | Choice (North Shore - LIJ) | $37.07 |
| MultiPlan | Capital District Physicians Health Plan | $270.64 |
| EmblemHealth | CMO Essential Plan 2 | $107.51 |
| EmblemHealth | Select Care Basic Exchange | $107.51 |
| Cigna | Great West HMO | $118.64 |
| MetroPlus | Essential Plan 2 | $70.44 |
| Cigna | Wellfleet Student | $118.64 |
| EmblemHealth | HIP PPO | $107.51 |
| EmblemHealth | Select Care Bronze Small Group | $107.51 |
| Health Net | PPO | $270.64 |
| MultiPlan | PHCS Savility | $270.64 |
| EmblemHealth | Essential Plan 2 | $107.51 |
| EmblemHealth | HIP compre health epo | $107.51 |
| Aetna | Signature Administrators PPO | $111.22 |
| Aetna | Coresource ASA PPO | $111.22 |
| EmblemHealth | HIP Access II | $107.51 |
| MultiPlan | PHP Healthcare (Champus) | $270.64 |
| EmblemHealth | CMO Essential Plan 3 | $107.51 |
| EmblemHealth | Healthcare Partners Essential Plan 2 | $107.51 |
| EmblemHealth | Bridge | $107.51 |
| EmblemHealth | WLNY-TV | $148.30 |
| EmblemHealth | GHI Medicare HMO | $148.30 |
| MetroPlus | MedPlus | $114.93 |
| EmblemHealth | HIP POS | $107.51 |
| Aetna | Student Health | $111.22 |
| MultiPlan | Administrative Concepts | $270.64 |
| EmblemHealth | Healthcare Partners Essential Plan 1, 200-250 | $107.51 |
| EmblemHealth | HIP SmartStart | $107.51 |
| MagnaCare | JIB Employees Security Fund | $88.98 |
| MetroPlus | Essential Plan 1 | $70.44 |
| EmblemHealth | Vytra HMO | $107.51 |
| EmblemHealth | Select Care PPOu00a0 | $107.51 |
| Aetna | Global National Transplant | $111.22 |
| UnitedHealthcare | Choice | $37.07 |
| UnitedHealthcare | POMCO (UMR) | $270.64 |
| Cigna | NALC PPO | $118.64 |
| Cigna | Open Access | $118.64 |
| MultiPlan | PPO | $270.64 |
| EmblemHealth | VIP Prime HMO Medicare Advantage | $107.51 |
| EmblemHealth | CMO Essential Plan 4 | $107.51 |
| MetroPlus | Essential Plan 4 | $48.20 |
| EmblemHealth | HIP Long Island College Hospital (LICH) | $107.51 |
| Cigna | Open Access PPO | $118.64 |
| UnitedHealthcare | EPO | $37.07 |
| UnitedHealthcare - Oxford | Optum Health | $37.07 |
| MagnaCare | JIB Members | $88.98 |
| EmblemHealth | Select Care Bronze Exchange | $107.51 |
| EmblemHealth | HIP Healthcare Partners HMO | $107.51 |
| MultiPlan | Kaiser Permanente | $270.64 |
| EmblemHealth | Prime Gold | $107.51 |
| Aetna | Indemnity | $111.22 |
| EmblemHealth | GHI EPO | $148.30 |
| UnitedHealthcare - Oxford | Liberty | $37.07 |
| Aetna | Starmark ASA PPO | $111.22 |
| EmblemHealth | GHI Behavioral Management Program | $148.30 |
| EmblemHealth | GHI Medicare Supplement | $148.30 |
| EmblemHealth | GHI Medicare PPO | $148.30 |
| EmblemHealth | Enhanced Care (Medicaid) Montefiore | $107.51 |
| EmblemHealth | Enhanced Care (Medicaid) Healthcare Partners | $107.51 |
| MultiPlan | US Life Insurance Co | $270.64 |
| EmblemHealth | Healthcare Partners Essential Plans | $107.51 |
| EmblemHealth | Essential Plan 4 | $107.51 |
| EmblemHealth | Select Care Platinum Exchange | $107.51 |
| Cigna | Great West PPO | $118.64 |
| Cigna | Open Access HMO | $118.64 |
| Cigna | Indemnity | $118.64 |
| UnitedHealthcare - Oxford | Freedom | $37.07 |
| EmblemHealth | HIP Medicare Supplement | $107.51 |
| UnitedHealthcare | POS | $37.07 |
| Cigna | LifeSOURCE | $118.64 |
| EmblemHealth | Select Care Silver Small Group | $107.51 |
| EmblemHealth | Prime Platinum | $107.51 |
| MetroPlus | SilverPlus | $114.93 |
| EmblemHealth | Healthcare Partners Essential Plan 3 | $107.51 |
| EmblemHealth | Prime Bronze | $107.51 |
| MetroPlus | Medicaid Managed Care | $48.20 |
| Aetna | POS | $111.22 |
| UnitedHealthcare | PPO | $37.07 |
| EmblemHealth | Select Care HMO | $107.51 |
| MultiPlan | Humana Health Plan | $270.64 |
| MultiPlan | Screen Actors Guild | $270.64 |
| MultiPlan | Meritain Health | $270.64 |
| Cigna | Cigna Managed Care/POS | $118.64 |
| EmblemHealth | Select Care Healthcare Partners | $107.51 |
| EmblemHealth | HIP Optum Health | $107.51 |
| MultiPlan | Principal Financial Group | $270.64 |
| MagnaCare | Direct Plus | $88.98 |
| UnitedHealthcare - Oxford | Metro | $37.07 |
| EmblemHealth | HIP | $107.51 |
| Aetna | Chesterfield Resources ASA PPO | $111.22 |
| UnitedHealthcare | Optum Health | $37.07 |
| MagnaCare | Independent Care Plus | $88.98 |
| MultiPlan | Paramount Insurance | $270.64 |
| EmblemHealth | GHI Comprehensive Benefits Plan (CBP) | $148.30 |
| EmblemHealth | Essential Plan 1, 200-250 | $107.51 |
| EmblemHealth | HIP VIP Medicare Healthcare Partners | $107.51 |
| MultiPlan | Guardian Life Insurance Co | $270.64 |
| MetroPlus | Child Health Plus (CHP) | $48.20 |
| MagnaCare | PPO | $88.98 |
| UnitedHealthcare | Choice (NY Power Authority) | $37.07 |
| MagnaCare | Capital District Physicians Health Plan | $88.98 |
| MagnaCare | American Plan Administrators | $88.98 |
| EmblemHealth | Select Care EPO | $107.51 |
| MetroPlus | Essential Plan 3-4 | $48.20 |
| MetroPlus | BronzePlus | $114.93 |
| EmblemHealth | Select Care Platinum Small Group | $107.51 |
| MultiPlan | Diversified Admin Corp | $270.64 |
| EmblemHealth | HIP Child Health Plus | $107.51 |
| MagnaCare | National Health Plan | $88.98 |
| MultiPlan | Global Excel Management | $270.64 |
| MagnaCare | Direct Plus Preferred | $88.98 |
| EmblemHealth | CMO Essential Plan 1 | $107.51 |
| EmblemHealth | HIP compre health | $107.51 |
| EmblemHealth | Healthcare Partners Essential Plan 4 | $107.51 |
| EmblemHealth | Select Care Gold Small Group | $107.51 |
| Cigna | Premier Plus | $118.64 |
| Aetna | Open Access HMO | $111.22 |
| Aetna | Wellnet ASA PPO | $111.22 |
| UnitedHealthcare | Golden Rule Insurance | $37.07 |
| EmblemHealth | HIP Prime Basic | $107.51 |
| EmblemHealth | HIP Access I | $107.51 |
| Aetna | HMO | $111.22 |
| Aetna | Open Access Elect Choice EPO | $111.22 |
| UnitedHealthcare | POMCO (UMR) | $37.07 |
| EmblemHealth | GHI PPO | $148.30 |
| MultiPlan | Healthnet of California | $270.64 |
| MultiPlan | PHCS | $270.64 |
| UnitedHealthcare | Independent | $37.07 |
| Aetna | Meritain Health | $111.22 |
| EmblemHealth | GHI HMO | $148.30 |
| MultiPlan | Teamsters Allied Benefits | $270.64 |
| EmblemHealth | HIP VIP Medicare Affinity | $107.51 |
| EmblemHealth | GHI composite | $148.30 |
| GEHA | All Plans | $111.22 |
| MetroPlus | PlatinumPlus | $114.93 |
| MagnaCare | Cement & Concrete Workers District Council | $88.98 |
| MultiPlan | QualCare Inc | $270.64 |
| EmblemHealth | HIP Montefiore | $107.51 |
| MetroPlus | GoldPlus | $114.93 |
| MultiPlan | Fiserv Health | $270.64 |
| Cigna | MVP-Cigna Network | $118.64 |
| EmblemHealth | American Plan Administrators c/o H.D.A | $148.30 |
| Aetna | PPO | $111.22 |
| MetroPlus | Gold | $74.15 |
| EmblemHealth | Select Care Gold Exchange | $107.51 |
| Maksin Group | Consolidated Health Plan (Home-based only) | $118.64 |
| MultiPlan | Nippon Life | $270.64 |
| UnitedHealthcare | Student Resources | $37.07 |
| EmblemHealth | IUOE Local 14-14B | $148.30 |
| EmblemHealth | American Plan Administrators | $148.30 |
| EmblemHealth | HIP EPO | $107.51 |
| UnitedHealthcare | Core | $37.07 |
| EmblemHealth | Healthcare Partners Essential Plan 1-2 | $107.51 |
| MultiPlan | Global Health Management | $270.64 |
| EmblemHealth | HIP HMO | $107.51 |
| Cigna | PPO | $118.64 |
| MetroPlus | GoldCare 2 | $74.15 |
| First Health | PPO | $270.64 |