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Iowa 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
$19.50 / $21.38 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $20.89 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $25.12
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $35.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $17.38 / $26.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $17.38 / $26.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $22.39 / $22.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $19.50 / $19.95
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50