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See a sample rate comparisonHCPCS J0290 (Ampicillin) Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Injection, ampicillin sodium, 500 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | None 99 - Other POS |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J0290 |
| Medicare Payment Limit | $0.546  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00781-3402-95 - AMPICILLIN SODIUM (U.S.P.) 250 MG • 00781-3404-95 - AMPICILLIN SODIUM (U.S.P.) 1 GM • 00781-3407-95 - AMPICILLIN SODIUM (U.S.P.) 500 MG • 00781-3408-95 - AMPICILLIN SODIUM (U.S.P.) 2 GM • 00781-3409-95 - AMPICILLIN SODIUM 10 GM |
National average reimbursement for HCPCS J0290 by major payers:
$0.91
$0.98
$1.14
$0.91
Compare published rates across providers.
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HCPCS J0290
5 of 25 sample ratesHigher to lower in this preview
Emory Healthcare
Emory University
$4.63Published rateLester E Cox Medical Centers, Cox Medical Centers
$0.89Published rateManisha Sharma
$0.77Published rateCameron Regional Medical Center Inc, Cameron Community Hospital
Cameron Regional Medical Center Inc
$0.70Published rateAdrielle El-Dyson Otoo
New York City Health And Hospitals Corporation
$0.51Published rate
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See a sample payer proposalHCPCS J0290 vs. Other Drugs, Administered by Injection Codes
The HCPCS J0290 code is part of the Drugs Administered Other than Oral Method services used for Drugs, Administered by Injection. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS J0290 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 00781-3402-95-NDC | Moderate | AMPICILLIN SODIUM (U.S.P.) 250 MG |
| 00781-3404-95-NDC | Moderate | AMPICILLIN SODIUM (U.S.P.) 1 GM |
| 00781-3407-95-NDC | Moderate | AMPICILLIN SODIUM (U.S.P.) 500 MG |
| J0290-HCPCS | Low | Injection, ampicillin sodium, 500 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J0290. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J0290 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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