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Pennsylvania rates for HCPCS J0290

Injection, ampicillin sodium, 500 mg

Facilitymedian $8 · 10th–90th $1$1620%10%10th90th$8Professionalmedian $2 · 10th–90th $1$90%20%10th90th$2$1.0$10.0$100.0$1.0K$10.0K

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
$1.45 / $7.94 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $2.51 / $9.12
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.65 / $707.95 / $1,513.56
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.54 / $0.65 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.62 / $0.62 / $0.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.65 / $2.24 / $2.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $0.65
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $0.65
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.95 / $1.12 / $1.12
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $8.91 / $85.11
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $1,202.26
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.17 / $1.55 / $1.91
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.62 / $0.72 / $1.10
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.63 / $0.85 / $1.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.59 / $1.07