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California rates for HCPCS J0290

Injection, ampicillin sodium, 500 mg

Facilitymedian $1 · 10th–90th $1$910%10%10th90th$1Professionalmedian $2 · 10th–90th $1$30%20%10th90th$2$0.5$2.0$10.0$50.0$200.0$1.0K

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
$1.17 / $7.41 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $2.57 / $3.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.62 / $0.71 / $0.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.65 / $3.80
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $2.88 / $3.39
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.83 / $2.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.68 / $1.12 / $1.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $0.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.52 / $0.66 / $3.98
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.71 / $0.71
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.65 / $1.15 / $2.04
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $2.88
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $1.62 / $1.62
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.51 / $0.71 / $1.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $3.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.59 / $1.82