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Oregon rates for HCPCS J0290

Injection, ampicillin sodium, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.54 / $1.42 / $100.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.55 / $1.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $1.01 / $1.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $1.43 / $1.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $1.18 / $37.32
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.63 / $2.54
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $0.63 / $1.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $1.19 / $2.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $0.89 / $2.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55