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Washington, DC rates for HCPCS J0290

Ampicillin 500 Mg Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.28 / $3.36 / $76.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $1.37 / $2.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.52 / $0.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.47 / $0.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.55 / $0.89