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Minnesota 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 / $32.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $21.69 / $672.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.62 / $19.52 / $34.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.62 / $19.34 / $19.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.79 / $63.31 / $77.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.88 / $22.48 / $23.32
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.73 / $57.77 / $72.50
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.70 / $17.70 / $24.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.38 / $17.37 / $29.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.37 / $17.37 / $23.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $35.39