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Nebraska 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
$19.50 / $30.90 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $33.11 / $676.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $20.89 / $21.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $21.38 / $21.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.95 / $25.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $21.38 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $24.55
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $26.92 / $26.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $19.50 / $34.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $19.50 / $24.55