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Missouri rates for HCPCS J0290

Injection, ampicillin sodium, 500 mg

Facilitymedian $31 · 10th–90th $3–$950%5%10th90th$31Professionalmedian $1 · 10th–90th $1–$40%20%10th90th$1$0.2$1.0$5.0$20.0$100.0

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
$3.63 / $33.11 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.95 / $3.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $1.10 / $1.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $0.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.74 / $1.20 / $1.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $0.65
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.52 / $2.57 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.49 / $0.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.65 / $0.79 / $0.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.52 / $0.59 / $0.74