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Connecticut rates for HCPCS J0290

Injection, ampicillin sodium, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $1.44 / $11.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.69 / $0.98 / $2.00
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
$0.55 / $0.55 / $0.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.59 / $0.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.55 / $3.64