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New York 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 / $27.54 / $56.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $53.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $19.50 / $20.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $11.75 / $12.30
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $11.75 / $11.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $18.62 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $83.18
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $23.99 / $66.07
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.38 / $25.70
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $19.50 / $20.42
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $20.42
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $19.50 / $27.54
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $19.50 / $22.91
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $19.50 / $23.44