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Colorado rates for HCPCS J0290

Injection, ampicillin sodium, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $16.98 / $216.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $0.99 / $1.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.52 / $1.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.90 / $4.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.60 / $0.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55