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Washington rates for HCPCS J2540

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.62 / $58.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $2.82 / $5.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.74 / $0.74 / $1.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.78 / $0.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $0.87 / $1.66
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.51 / $0.51 / $0.93
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.93 / $1.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $0.78 / $0.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.78 / $0.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.78 / $0.78
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.78 / $1.00