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Oklahoma rates for HCPCS J0295

Injection, ampicillin sodium/sulbactam sodium, per 1.5 g

Facilitymedian $7 · 10th–90th $2–$740%5%10%10th90th$7Professionalmedian $1 · 10th–90th $1–$10%50%90th$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
$1.45 / $38.02 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $4.27 / $6.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $3.55 / $3.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $1.35 / $1.35
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.48 / $2.29 / $75.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.38 / $1.48 / $1.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.35 / $2.57 / $2.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $1.32 / $1.58