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Tennessee 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 / $29.01 / $167.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $21.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.31 / $24.31 / $24.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.52 / $19.52 / $19.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $19.52
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $20.67