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Oregon rates for HCPCS J0290

Injection, ampicillin sodium, 500 mg

Facilitymedian $1 · 10th–90th $1–$1000%20%10th90th$1Professionalmedian $1 · 10th–90th $1–$30%20%10th90th$1$1.0$5.0$20.0$100.0$500.0$2.0K

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
$1.17 / $6.46 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $2.82 / $2.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.85 / $1.00 / $1.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $0.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $1.58 / $1.70
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.65 / $0.68 / $3.24
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.74 / $2.51
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.55 / $0.56 / $1.35
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.59 / $1.00 / $2.75
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.89 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.59 / $0.60