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North Carolina 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
$2.19 / $20.89 / $22.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $19.95 / $102.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $11.22 / $32.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $19.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $24.55
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $17.38 / $23.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $28.84 / $32.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $19.50 / $25.12
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00