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Arizona 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
$19.28 / $34.95 / $58.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.71 / $22.92 / $696.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.62 / $62.51 / $102.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.56 / $16.82 / $124.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.42 / $19.52 / $19.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $19.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.37 / $22.92 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.37 / $17.37 / $17.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $19.52