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Connecticut rates for HCPCS J0290

Injection, ampicillin sodium, 500 mg

Facilitymedian $4 · 10th–90th $1–$130%10%10th90th$4Professionalmedian $2 · 10th–90th $1–$90%20%10th90th$2$0.5$1.0$2.0$5.0$10.0$20.0

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
$1.58 / $5.89 / $13.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $5.37 / $9.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.81 / $1.00 / $1.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $0.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.72 / $0.72 / $1.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $0.65
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.71 / $0.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.52 / $0.59 / $4.47