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Rhode Island 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
$63.44 / $63.44 / $63.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $20.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.37 / $17.37 / $20.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $19.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.42 / $19.52 / $19.52
Cigna
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