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Arizona rates for HCPCS J2540

Injection, penicillin G potassium, up to 600,000 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $1.60 / $82.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.97 / $2.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $2.76 / $4.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.57 / $0.85 / $5.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.77 / $0.79 / $0.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.77 / $1.39 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $0.88 / $0.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.79