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Massachusetts rates for HCPCS J0295

Injection, ampicillin sodium/sulbactam sodium, per 1.5 g

Facilitymedian $9 · 10th–90th $2$810%10%10th90th$9Professionalmedian $1 · 10th–90th $1$40%20%40%10th90th$1$1.0$10.0$100.0$1.0K$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
$2.34 / $10.00 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $6.76
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $4.17 / $20.89
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $1.35 / $4.90
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.35 / $1.35 / $2.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.78 / $2.88 / $5.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $1.35 / $3.89
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.35 / $1.95 / $6,918.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $1.35 / $2.24
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $10.23 / $40.74
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $4.17 / $20.89
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $1.35 / $4.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.58 / $2.57 / $3.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $1.35 / $4.90