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Ampicillin Injection

Montana rates for HCPCS J0290

Injection, ampicillin sodium, 500 mg

Rates data updated July 2026.

Facilitymedian $1 · 10th–90th $1$390%20%10th90th$1Professionalmedian $1 · 10th–90th $1$30%50%10th90th$1$1.0$10.0$100.0$1.0K$10.0K$100.0K

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
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$28.84
Typical High
$38.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.65
Median
$0.71
Typical High
$2.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.09
Median
$69,183.10
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.68
Median
$0.68
Typical High
$2.75
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.65
Median
$0.65
Typical High
$0.68
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1.07
Median
$1.07
Typical High
$2.95
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1.07
Median
$1.07
Typical High
$2.95
Providence
Setting
Facility
Modifier
Global
Typical Low
$0.68
Median
$0.68
Typical High
$2.75
Providence
Setting
Professional
Modifier
Global
Typical Low
$0.65
Median
$79.43
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$0.59
Median
$0.59
Typical High
$0.59