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Kansas rates for HCPCS J0290

Injection, ampicillin sodium, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.16 / $31.73 / $178.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.56 / $0.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.88 / $1.04 / $2.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.62 / $0.62
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $1.00 / $25.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.49 / $0.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.94