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New York rates for HCPCS J0290

Injection, ampicillin sodium, 500 mg

Facilitymedian $5 · 10th–90th $1–$210%10%10th90th$5Professionalmedian $1 · 10th–90th $1–$40%50%10th90th$1$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$1.23 / $5.13 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.70 / $9.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $0.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $0.85 / $1.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $5.25
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.62 / $0.79 / $2.19
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.71 / $1.00
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.55 / $0.55 / $0.58
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.55 / $0.55 / $0.56
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.62 / $0.89 / $2.69
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.63 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $1.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.63 / $4.79
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.55 / $0.55 / $0.66
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.55 / $0.56 / $2.34