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Idaho rates for HCPCS J0561

Injection, penicillin G benzathine, 100,000 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.30 / $580.83 / $1,115.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.01 / $33.01 / $149.41
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.01 / $37.51 / $53.64
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.01 / $34.51 / $37.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.98 / $26.98 / $26.98
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.17 / $35.96 / $59.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.01 / $36.01 / $37.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.01 / $30.01 / $30.01