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Arkansas rates for HCPCS J0290

Injection, ampicillin sodium, 500 mg

Facilitymedian $10 · 10th–90th $1–$810%20%10th90th$10Professionalmedian $3 · 10th–90th $1–$40%20%40%10th90th$3$1.0$2.0$5.0$10.0$20.0$50.0

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
$2.57 / $39.81 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $3.63 / $3.63
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $0.65
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $0.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.85 / $0.91 / $1.35
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $0.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.59 / $4.07