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Colorado rates for HCPCS J0290

Injection, ampicillin sodium, 500 mg

Facilitymedian $3 · 10th–90th $1–$870%5%10%10th90th$3Professionalmedian $1 · 10th–90th $1–$50%20%40%10th90th$1$1.0$5.0$20.0$100.0

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
$1.23 / $33.11 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.55 / $5.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.95 / $1.26 / $2.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.59 / $0.59
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.62 / $0.72 / $1.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $0.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.83 / $19.95 / $19.95
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $0.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.59 / $2.95