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West 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
$17.54 / $19.72 / $21.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.72 / $21.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.52 / $29.28 / $29.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.42 / $19.52 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $36.84
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.30 / $67.30 / $67.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.93 / $19.52 / $24.32