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Kansas 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
$17.72 / $21.27 / $76.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $21.08 / $27.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.91 / $23.90 / $26.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.77 / $24.77 / $24.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.42 / $18.42 / $19.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $19.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.89 / $17.57 / $26.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.37 / $17.37 / $23.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $24.32