go back

Arizona rates for HCPCS J0295

Injection, ampicillin sodium/sulbactam sodium, per 1.5 g

Facilitymedian $20 · 10th–90th $2$910%10%10th90th$20Professionalmedian $1 · 10th–90th $1$40%20%40%10th90th$1$1.0$5.0$20.0$100.0$500.0$2.0K

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
$2.34 / $46.77 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.32 / $4.90
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.38 / $5.25 / $9.33
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $2.51 / $9.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.38 / $2.24 / $2.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $1.35 / $1.35
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.62 / $6.92 / $75.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $1.48 / $1.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.35 / $2.57 / $2.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $1.32 / $1.58