go back

Idaho rates for HCPCS J0295

Injection, ampicillin sodium/sulbactam sodium, per 1.5 g

Facilitymedian $17 · 10th–90th $1–$830%5%10%10th90th$17Professionalmedian $1 · 10th–90th $1–$20%50%90th$1$1.0$5.0$20.0$100.0$500.0

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
$1.86 / $21.88 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.32
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $4.07 / $9.77
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $2.14 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.48 / $1.55 / $3.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $1.35 / $1.35
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.35 / $1.70 / $69.18
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.35 / $1.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $1.62 / $1.70
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $1.35 / $3.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $1.32 / $2.14