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Arizona rates for HCPCS J0561

Injection, penicillin G benzathine, 100,000 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $299.70 / $1,275.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.30 / $86.87 / $476.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.51 / $93.46 / $155.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $28.36 / $190.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.31 / $30.01 / $30.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.01 / $30.01 / $30.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.70 / $38.68 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.30 / $29.30 / $29.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.01 / $30.01 / $30.01