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Virginia 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
$19.52 / $20.50 / $39.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $20.50 / $21.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.52 / $41.19 / $66.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $19.52
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.71 / $30.39 / $45.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.42 / $18.42 / $19.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $19.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.59 / $23.42 / $24.32
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.52 / $19.57 / $21.27
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.54 / $19.52 / $24.99
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.54 / $19.52 / $24.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.20 / $19.52 / $24.32