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Kansas rates for HCPCS J0290

Injection, ampicillin sodium, 500 mg

Facilitymedian $9 · 10th–90th $1–$2140%10%10th90th$9Professionalmedian $1 · 10th–90th $0–$30%20%40%10th90th$1$0.5$2.0$10.0$50.0$200.0

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
$1.00 / $16.60 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $2.95
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.85 / $0.89 / $0.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.62 / $0.62 / $0.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.65 / $1.05 / $2.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $0.65
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $1.00 / $25.12
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.49 / $0.49 / $0.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.60 / $0.65 / $3.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.59 / $1.00