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New Jersey rates for HCPCS J0290

Injection, ampicillin sodium, 500 mg

Facilitymedian $7 · 10th–90th $2–$630%5%10%10th90th$7Professionalmedian $1 · 10th–90th $1–$90%20%40%10th90th$1$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.62 / $6.46 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $1.62 / $9.12
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $354.81 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.65 / $0.72 / $1.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $3.39
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $10,715.19 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.51 / $0.62 / $0.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $1.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.59 / $0.72