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Louisiana 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 / $19.72 / $43.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.54 / $19.72 / $21.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.52 / $4.13 / $19.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.11 / $19.11 / $19.48
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $263.31 / $263.31
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $24.32