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Ohio rates for HCPCS J0290

Injection, ampicillin sodium, 500 mg

Facilitymedian $4 · 10th–90th $1–$500%5%10%10th90th$4Professionalmedian $1 · 10th–90th $1–$20%20%10th90th$1$0.5$1.0$2.0$5.0$10.0$20.0$50.0

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 / $5.13 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $1.62 / $2.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.69 / $1.38 / $4.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.74 / $1.20
Aultcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.85 / $0.85 / $0.85
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.55 / $0.55 / $0.55
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.74 / $0.74 / $0.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.23 / $1.38 / $2.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $1.02
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $1.86 / $12.02
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.59 / $3.98
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.55 / $0.68 / $0.81
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $1.07 / $1.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.72 / $1.29 / $1.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.59 / $0.78