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Nevada rates for HCPCS J0295

Injection, ampicillin sodium/sulbactam sodium, per 1.5 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.03 / $94.80 / $309.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.40 / $6.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.27 / $1.46 / $4.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.39 / $1.49
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
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.51 / $5.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.39 / $1.39