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New York rates for HCPCS J0295

Injection, ampicillin sodium/sulbactam sodium, per 1.5 g

Facilitymedian $7 · 10th–90th $1$420%10%10th90th$7Professionalmedian $1 · 10th–90th $1$40%20%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
$1.38 / $7.24 / $41.69
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $3.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $1.35 / $1.35
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $2.75 / $2.88
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $2.75 / $2.75
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.48 / $1.78 / $2.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $1.35 / $8.13
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.29 / $1.66 / $4.57
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $1.48 / $2.51
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.38 / $1.38 / $1.45
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.38 / $1.38 / $1.45
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.58 / $4.68 / $9.12
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.70 / $1.70 / $3.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $1.58 / $6.46
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.38 / $1.38 / $1.66
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.38 / $1.45 / $2.57