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Wyoming 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 / $17.37 / $17.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.37 / $17.37 / $19.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.66 / $24.31 / $24.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.42 / $18.42 / $18.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $27.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $19.52