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Maryland rates for HCPCS J0290

Injection, ampicillin sodium, 500 mg

Facilitymedian $10 · 10th–90th $2–$440%5%10%10th90th$10Professionalmedian $1 · 10th–90th $1–$90%20%10th90th$1$0.5$2.0$10.0$50.0$200.0$1.0K$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
$2.04 / $9.77 / $43.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $1.70 / $9.12
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.59 / $0.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $0.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.55 / $0.65 / $4.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $0.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.59 / $0.72
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.59 / $0.59