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Ampicillin Injection

Arizona rates for HCPCS J0290

Injection, ampicillin sodium, 500 mg

Rates data updated July 2026.

Facilitymedian $1 · 10th–90th $1$140%10%20%10th90th$1Professionalmedian $1 · 10th–90th $1$30%20%10th90th$1$0.1$0.5$2.0$10.0$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
Setting
Facility
Modifier
Global
Typical Low
$1.05
Median
$2.95
Typical High
$20.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.65
Median
$0.85
Typical High
$2.51
BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.27
Median
$0.93
Typical High
$3.39
BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.62
Median
$1.23
Typical High
$4.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.66
Median
$1.12
Typical High
$1.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.65
Median
$0.65
Typical High
$0.65
Medica
Setting
Facility
Modifier
Global
Typical Low
$0.49
Median
$0.78
Typical High
$75.86
Medica
Setting
Professional
Modifier
Global
Typical Low
$0.49
Median
$0.49
Typical High
$0.49
United
Setting
Facility
Modifier
Global
Typical Low
$0.65
Median
$0.78
Typical High
$1.07
United
Setting
Professional
Modifier
Global
Typical Low
$0.59
Median
$0.59
Typical High
$0.59