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Indiana rates for HCPCS J0290

Injection, ampicillin sodium, 500 mg

Facilitymedian $3 · 10th–90th $1–$1350%10%10th90th$3Professionalmedian $1 · 10th–90th $1–$50%20%10th90th$1$0.5$5.0$50.0$500.0$5.0K

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
$1.66 / $39.81 / $275.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $1.78 / $5.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.76 / $0.95 / $1.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $1.17
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.55 / $0.83 / $1.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.89 / $1.78 / $1.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $0.81
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 / $1.17