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Ampicillin Injection

West Virginia rates for HCPCS J0290

Injection, ampicillin sodium, 500 mg

Rates data updated July 2026.

Facilitymedian $6 · 10th–90th $1$110%10%20%10th90th$6Professionalmedian $1 · 10th–90th $1$30%50%10th90th$1$0.5$1.0$2.0$5.0$10.0$20.0$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
Setting
Facility
Modifier
Global
Typical Low
$1.35
Median
$6.31
Typical High
$11.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.65
Median
$0.65
Typical High
$2.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.65
Median
$0.95
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.65
Median
$0.65
Typical High
$5.25
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.66
Median
$2.04
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$0.98
Median
$0.98
Typical High
$0.98
United
Setting
Professional
Modifier
Global
Typical Low
$0.56
Median
$0.59
Typical High
$4.07