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Michigan rates for HCPCS J0290

Injection, ampicillin sodium, 500 mg

Facilitymedian $2 · 10th–90th $1–$210%10%10th90th$2Professionalmedian $1 · 10th–90th $0–$30%10%10th90th$1$0.1$0.5$2.0$10.0$50.0

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
$1.17 / $4.79 / $33.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.17 / $2.29 / $3.24
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $1.32 / $2.57
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.10 / $0.11 / $0.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $1.02 / $1.02
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $1.95 / $44.67
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.71 / $1.62
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.98 / $1.02 / $1.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $1.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.59 / $0.63