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Vermont rates for HCPCS J0290

Ampicillin 500 Mg Inj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.60 / $0.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.62 / $0.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.68 / $1.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.68 / $1.12
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.85