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Maryland 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 / $17.37 / $17.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $22.23
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.36 / $17.36 / $19.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $24.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $21.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $20.69
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.37 / $17.37 / $17.37