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Connecticut rates for HCPCS J0295

Ampicillin Sodium Per 1.5 Gm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.93 / $6.94 / $45.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $2.47 / $5.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.39 / $1.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.39 / $1.39 / $1.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.39 / $1.39
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.51 / $1.74
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.70 / $10.91 / $11.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.25 / $1.39 / $5.43