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Nationwide rates for HCPCS J0295

Ampicillin Sodium Per 1.5 Gm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.78 / $28.12 / $104.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.43 / $2.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $2.36 / $4.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.39 / $1.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.31 / $1.39 / $1.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.39 / $1.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.39 / $1.93