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California rates for HCPCS J0295

Injection, ampicillin sodium/sulbactam sodium, per 1.5 g

Facilitymedian $5 · 10th–90th $1$950%10%10th90th$5Professionalmedian $1 · 10th–90th $1$50%20%40%10th90th$1$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$2.63 / $28.84 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $4.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $1.55 / $2.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $1.38 / $5.37
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.72 / $4.27 / $5.37
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.86 / $5.75
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $2.34 / $3.16
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $1.35 / $1.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.20 / $1.45 / $7.94
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $1.62 / $1.62
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.35 / $2.45 / $4.37
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $1.35 / $4.17
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $4.68 / $4.68
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $1.32 / $4.90