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Washington rates for HCPCS J0290

Injection, ampicillin sodium, 500 mg

Facilitymedian $2 · 10th–90th $1–$2450%20%10th90th$2Professionalmedian $2 · 10th–90th $1–$30%20%10th90th$2$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
$1.07 / $2.04 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.82 / $3.24
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $0.65
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $0.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.85 / $0.85 / $2.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $0.79
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.55 / $0.87 / $1.38
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.74 / $2.45 / $2.45
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.52 / $0.74 / $0.74
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $0.65
Regence BlueShield
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
$0.60 / $0.60 / $1.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.59 / $0.65
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.65 / $0.83