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South Carolina rates for HCPCS J0290

Ampicillin 500 Mg Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.40 / $39.31 / $127.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.56 / $0.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $4.90 / $60.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.70 / $2.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.52 / $0.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $0.77 / $2.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55