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Delaware rates for HCPCS J0290

Injection, ampicillin sodium, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $17.10 / $278.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $1.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.52 / $5.52 / $12.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.83 / $3.88