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Virginia rates for HCPCS J0290

Injection, ampicillin sodium, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $14.28 / $91.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.56 / $0.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.37 / $2.06
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.66 / $3.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $2.58 / $4.54
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.67 / $2.80
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.67 / $2.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.55 / $0.69