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Delaware 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
$509.85 / $509.85 / $509.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $40.49 / $40.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $19.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.46 / $19.52 / $29.28