go back

New Mexico 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 / $27.08 / $27.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.51 / $24.79 / $696.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.42 / $14.42 / $19.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.52 / $19.52 / $19.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $19.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.22 / $3.98 / $19.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $19.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $19.52