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Oklahoma 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
$17.37 / $18.76 / $31.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.76 / $21.08 / $21.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.83 / $9.11 / $14.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.42 / $18.42 / $19.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $19.52 / $19.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.89 / $17.37 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.37 / $17.37 / $18.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $19.52