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Oklahoma rates for HCPCS J0290

Injection, ampicillin sodium, 500 mg

Facilitymedian $2 · 10th–90th $1–$430%10%10th90th$2Professionalmedian $1 · 10th–90th $0–$10%50%10th90th$1$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$1.58 / $9.77 / $144.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.17 / $1.82 / $2.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.95 / $1.70 / $1.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $0.65
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.49 / $1.00 / $75.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.49 / $0.49 / $0.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.60 / $1.00 / $1.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.59 / $0.60