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Payers and negotiated rates for HCPCS J0530 | medprice.ai

PR PENICILLIN G BENZATHINE INJ

Payers reporting HCPCS J0530

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Payer pricing summary

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Low

$12

Average

$36

Median

$24

High

$107

Payer rate distribution

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Filter by billing methodology

Filter by billing class

#
1	Cigna professional · percent of total billed charges · bothfrom % of charges	9	$20	$19	$3	14%	—	$13 – $24
2	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	8	$84	$75	$17	23%	—	$37 – $90
3	First Health professional · percent of total billed charges · bothfrom % of charges	6	$23	$23	$3	14%	—	$20 – $30
4	MultiPlan professional · percent of total billed charges · bothfrom % of charges	5	$20	$20	$2	10%	—	$18 – $24
5	Caresource professional · percent of total billed charges · bothfrom % of charges	4	$12	$12	—	—	—	$12 – $12
6	Ambetter professional · percent of total billed charges · bothfrom % of charges	2	$20	$20	—	—	—	$20 – $20
7	Kaiser fee schedule · both	2	$24	$24	—	—	—	$24 – $24
8	Phcs professional · percent of total billed charges · bothfrom % of charges	2	$20	$20	—	—	—	$20 – $20
9	Aetna facility · per diem · inpatient · +2 other terms	1	$131	$131	—	—	—	$131 – $131
10	Anthem facility · fee schedule · outpatient	1	$107	$107	—	—	—	$107 – $107
11	Humana facility · per diem · inpatient · +2 other terms	1	$131	$131	—	—	—	$131 – $131
12	UnitedHealthcare facility · per diem · inpatient · +2 other terms	1	$131	$131	—	—	—	$131 – $131

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