go back

New Hampshire rates for HCPCS J0290

Injection, ampicillin sodium, 500 mg

Facilitymedian $2 · 10th–90th $1–$1,2300%20%10th90th$2Professionalmedian $1 · 10th–90th $1–$10%20%40%10th90th$1$1.0$5.0$20.0$100.0$500.0

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 / $3.02 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $1.62 / $5.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.91 / $1.35 / $2.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.65 / $0.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.72 / $1.26 / $1.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $0.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $1.12 / $1.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.59 / $1.29