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Oregon 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 / $20.46 / $39.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.54 / $19.72 / $672.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.42 / $24.57 / $34.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $21.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.22 / $38.35 / $45.97
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.91 / $26.74 / $41.97
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $21.48 / $25.38
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.37 / $19.53 / $36.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.42 / $24.57 / $41.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.70 / $21.18 / $24.40
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.90 / $25.31 / $50.74
Regence BlueShield
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