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North Dakota rates for HCPCS J0290

Injection, ampicillin sodium, 500 mg

Facilitymedian $1 · 10th–90th $1–$10%50%90th$1Professionalmedian $1 · 10th–90th $1–$70%20%40%10th90th$1$0.2$0.5$1.0$2.0$5.0$10.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $1.07 / $1.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $9.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $0.71 / $0.71
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.52 / $0.71 / $0.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.76
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.49 / $0.83 / $2.24
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.49 / $0.49 / $0.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.50 / $0.59 / $0.87