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South Carolina rates for HCPCS J0290

Injection, ampicillin sodium, 500 mg

Facilitymedian $45 · 10th–90th $10–$2450%10%10th90th$45Professionalmedian $1 · 10th–90th $1–$50%20%10th90th$1$0.5$2.0$10.0$50.0$200.0$1.0K

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
$9.55 / $44.67 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $5.37 / $5.37
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $20.89 / $52.48
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.71 / $2.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.72 / $0.91 / $1.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $0.65
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.62 / $2.00 / $2.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.59 / $0.79