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Missouri 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 / $21.27 / $25.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $21.02 / $28.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.52 / $33.18 / $70.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $24.40
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.04 / $18.51 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.76 / $17.37 / $20.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.59 / $19.52 / $22.58