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Idaho 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
$17.37 / $17.37 / $19.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.37 / $21.28 / $24.40
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.48 / $25.86 / $34.89
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $24.40 / $24.40
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.50 / $29.28 / $48.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.43 / $23.43 / $24.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $19.52