go back

Indiana 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
$17.54 / $47.42 / $433.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.72 / $19.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.52 / $39.04 / $51.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.59 / $19.52 / $27.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.52 / $19.52 / $26.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $24.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.52 / $19.52 / $19.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.88 / $19.52 / $53.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $33.18