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Illinois rates for HCPCS J0290

Injection, ampicillin sodium, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $10.79 / $106.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.55 / $0.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.90 / $8.26 / $19.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $1.40 / $32.36
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.99