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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
$19.50 / $19.50 / $22.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $20.89 / $23.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $17.38 / $38.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $23.44 / $30.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $19.50 / $19.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $24.55 / $24.55
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $24.55 / $24.55
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $26.30 / $43.65
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $23.44 / $24.55
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50