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Texas rates for HCPCS J0290

Injection, ampicillin sodium, 500 mg

Facilitymedian $32 · 10th–90th $2$2820%5%10th90th$32Professionalmedian $1 · 10th–90th $1$40%20%10th90th$1$0.2$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
$2.24 / $51.29 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.82 / $3.55
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $5.75 / $10.72
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.45 / $1.45
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.59 / $6.61 / $23.99
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.78 / $5.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.72 / $1.55 / $4.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $0.65
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.20 / $54.95 / $323.59
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $1.55 / $3.55
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.55 / $0.55 / $0.60
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.60 / $0.91 / $3.16
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $0.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.72 / $1.00 / $1.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.59 / $0.60