go back

Kentucky rates for HCPCS J0290

Injection, ampicillin sodium, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $0.94 / $70.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.65 / $0.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.55 / $0.55
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $0.61 / $0.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.61 / $0.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $0.55 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.98 / $5.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.55 / $0.55