go back

Montana rates for HCPCS J0558

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

Facilitymedian $20 · 10th–90th $9–$660%20%10th90th$20Professionalmedian $21 · 10th–90th $19–$6760%20%40%10th90th$21$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $20.89 / $676.08
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $69,183.10 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $22.39 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $22.39
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $18.62 / $48.98
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $18.62 / $48.98
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $22.39 / $34.67
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $27.54 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $19.50