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Wisconsin rates for HCPCS J0290

Injection, ampicillin sodium, 500 mg

Facilitymedian $69 · 10th–90th $1$1000%10%20%10th90th$69Professionalmedian $1 · 10th–90th $1$20%20%40%10th90th$1$0.5$2.0$10.0$50.0

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 / $75.86 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.78 / $3.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.79 / $0.79 / $0.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $0.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.85 / $1.91 / $2.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.76 / $1.10
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.55 / $0.55 / $1.41
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.83 / $1.10 / $1.58
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.49 / $1.41 / $39.81
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.49 / $0.49 / $1.10
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $1.07 / $1.07
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.89 / $2.34
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.59 / $0.59 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.59 / $0.59
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.85 / $0.85 / $1.26
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 / $0.89