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South Carolina 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
$5.54 / $20.50 / $73.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.42 / $20.50 / $58.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.79 / $20.11 / $22.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $24.31 / $26.70
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $22.55 / $49.58
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.62 / $20.62 / $20.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $19.52