go back

Alaska rates for HCPCS J0558

Injection, penicillin G benzathine and penicillin G procaine, 100,000 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.47 / $599.34 / $1,557.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.54 / $31.44 / $40.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $19.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.92 / $51.92 / $51.92
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $62.85
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.21 / $34.03 / $53.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.47 / $44.20 / $72.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $21.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $29.28 / $39.38