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Virginia rates for HCPCS J0290

Injection, ampicillin sodium, 500 mg

Facilitymedian $18 · 10th–90th $1–$910%5%10%10th90th$18Professionalmedian $1 · 10th–90th $1–$30%20%40%10th90th$1$0.5$2.0$10.0$50.0$200.0

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
$1.35 / $24.55 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $2.57 / $2.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $1.07
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.76 / $1.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.89 / $1.23 / $1.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $0.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.55 / $0.59 / $4.79
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $2.34 / $2.34
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.59 / $2.57 / $4.57
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.62 / $0.78 / $3.24
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.62 / $0.78 / $3.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.58 / $0.59 / $0.76