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Washington, DC rates for HCPCS J0290

Injection, ampicillin sodium, 500 mg

Facilitymedian $2 · 10th–90th $1–$540%10%10th90th$2Professionalmedian $2 · 10th–90th $1–$50%20%10th90th$2$1.0$2.0$5.0$10.0$20.0$50.0$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
$1.41 / $2.24 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $1.70 / $5.37
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.76 / $1.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.98 / $1.35 / $2.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $0.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.55 / $0.55 / $0.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.59 / $0.98