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Georgia rates for HCPCS J0290

Injection, ampicillin sodium, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $63.60 / $318.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.55 / $0.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $0.60 / $0.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.59
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $0.55 / $1.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.52 / $0.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $5.07 / $5.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $3.55