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Michigan 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
$17.89 / $20.11 / $599.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.89 / $20.11 / $21.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.13 / $43.49 / $82.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.89 / $19.89 / $19.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.79 / $19.52 / $19.52
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.89 / $29.28 / $55.82
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.89 / $19.52 / $23.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.44 / $22.44 / $22.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $20.71