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Illinois rates for HCPCS J0295

Injection, ampicillin sodium/sulbactam sodium, per 1.5 g

Facilitymedian $35 · 10th–90th $2$980%10%10th90th$35Professionalmedian $1 · 10th–90th $1$50%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
$2.24 / $39.81 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $3.98
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $14.13 / $41.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $2.51 / $3.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $1.35 / $1.35
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.38 / $7.76 / $48.98
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $1.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.58 / $2.57 / $2.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $1.32 / $1.58