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Minnesota rates for HCPCS J0290

Injection, ampicillin sodium, 500 mg

Facilitymedian $1 · 10th–90th $1–$30%20%10th90th$1Professionalmedian $1 · 10th–90th $0–$10%50%10th90th$1$0.5$1.0$2.0$5.0$10.0$20.0$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 / $1.17 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $1.70 / $2.82
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.60 / $1.41 / $1.41
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.47 / $0.59 / $0.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $2.63 / $3.16
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.62 / $0.71 / $0.76
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.55 / $1.91 / $2.51
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.81
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.52 / $5.89 / $19.05
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.49 / $0.49 / $0.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.63 / $1.26