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Utah 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
$22.65 / $22.65 / $991.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.65 / $22.65 / $22.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.30 / $24.78 / $26.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $19.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.31 / $39.43 / $56.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $19.52