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North Dakota 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 / $31.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $21.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.18 / $21.29 / $21.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.00 / $21.25 / $21.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.70 / $17.88 / $22.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.67 / $17.37 / $29.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.37 / $17.37 / $18.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.59 / $19.52 / $21.20