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Indiana rates for HCPCS J0558

Injection, penicillin G benzathine and penicillin G procaine, 100,000 units

Facilitymedian $35 · 10th–90th $19–$890%10%20%10th90th$35Professionalmedian $19 · 10th–90th $19–$260%50%90th$19$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $46.77 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $29.51 / $42.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $38.02
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $29.51 / $38.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $53.70 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $25.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $34.67 / $34.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $38.90