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Massachusetts rates for HCPCS J0290

Injection, ampicillin sodium, 500 mg

Facilitymedian $3 · 10th–90th $1–$360%10%10th90th$3Professionalmedian $1 · 10th–90th $1–$30%20%40%90th$1$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$1.02 / $7.94 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.55 / $2.88 / $5.37
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.15 / $1.95 / $6.76
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.65 / $4.07
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $1.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.83 / $1.35 / $2.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $1.45
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.65 / $0.93 / $6,918.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $1.07
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.79 / $4.27 / $6.17
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.15 / $1.95 / $6.76
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.65 / $4.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.60 / $1.00 / $1.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.63 / $4.07