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Nationwide rates for HCPCS J0295

Injection, ampicillin sodium/sulbactam sodium, per 1.5 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $25.12 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $3.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.74 / $3.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.32 / $2.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.32 / $3.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.35 / $1.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $2.57 / $12.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.32 / $2.04