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Montana rates for HCPCS J0558

Injection, penicillin G benzathine and penicillin G procaine, 100,000 units

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.71 / $21.69 / $696.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.85 / $22.29 / $34.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $22.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.85 / $22.29 / $34.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $21.18 / $27.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $19.52