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Arkansas 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
$19.98 / $23.43 / $167.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $21.69 / $23.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.84 / $18.84 / $18.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.02 / $18.84 / $18.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.51 / $19.52 / $19.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $19.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $20.67