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West Virginia rates for HCPCS J0290

Injection, ampicillin sodium, 500 mg

Facilitymedian $31 · 10th–90th $5$650%5%10%10th90th$31Professionalmedian $3 · 10th–90th $1$50%20%10th90th$3$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
$4.79 / $30.90 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $2.57
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.65 / $0.95 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $5.25
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.66 / $1.91 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.98 / $0.98 / $0.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.59 / $4.07