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Arizona rates for HCPCS J0290

Injection, ampicillin sodium, 500 mg

Facilitymedian $4 · 10th–90th $1–$660%5%10%10th90th$4Professionalmedian $2 · 10th–90th $1–$50%10%10th90th$2$0.5$2.0$10.0$50.0$200.0

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
$1.02 / $8.71 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.82 / $5.37
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.52 / $2.09 / $3.72
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.56 / $1.12 / $4.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.66 / $1.07 / $1.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $0.65
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.49 / $0.78 / $75.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.49 / $0.49 / $0.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.65 / $1.00 / $1.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.59 / $0.60