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Massachusetts 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
$19.52 / $19.52 / $39.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $20.30 / $20.84
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.17 / $52.31 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $24.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.94 / $24.91 / $53.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.52 / $19.52 / $19.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $19.52
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.52 / $53.00 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.41 / $19.52 / $40.54
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $29.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $27.33