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New Hampshire rates for HCPCS J0558

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

Facilitymedian $32 · 10th–90th $19–$780%10%10th90th$32Professionalmedian $19 · 10th–90th $19–$360%50%10th90th$19$10.0$20.0$50.0$100.0

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
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $21.88 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $51.29 / $85.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $22.39
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $38.90 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $19.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $32.36 / $37.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $19.50 / $29.51