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Utah rates for HCPCS J0558

Injection, penicillin G benzathine and penicillin G procaine, 100,000 units

Facilitymedian $30 · 10th–90th $22$1,0000%20%10th90th$30Professionalmedian $19 · 10th–90th $19$220%20%40%10th90th$19$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $21.88 / $22.39
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $25.70 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $19.50
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $37.15 / $51.29
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $25.12 / $25.12
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $19.50 / $23.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $19.50