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Iowa rates for HCPCS J0290

Injection, ampicillin sodium, 500 mg

Facilitymedian $1 · 10th–90th $1–$50%20%10th90th$1Professionalmedian $3 · 10th–90th $1–$30%50%10th$3$0.2$1.0$5.0$20.0$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
$1.17 / $2.57 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.57 / $2.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.76 / $0.76
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.55 / $2.29 / $35.48
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.72 / $1.00 / $3.02
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.49 / $0.49 / $2.29
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.87 / $0.93 / $0.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.59 / $0.65
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.55 / $0.59 / $0.59