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North Carolina rates for HCPCS J0290

Injection, ampicillin sodium, 500 mg

Facilitymedian $28 · 10th–90th $2–$930%5%10%10th90th$28Professionalmedian $2 · 10th–90th $1–$50%10%10th90th$2$0.5$2.0$10.0$50.0$200.0

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
$2.51 / $27.54 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $2.29 / $5.01
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $4.37 / $5.25
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $1.45 / $1.45
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.72 / $0.95 / $1.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $0.72
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.59 / $0.76 / $1.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.72 / $1.00 / $1.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.59 / $0.91
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00