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Alabama rates for HCPCS J2515

Injection, pentobarbital sodium, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.87 / $53.87 / $53.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.97 / $53.87 / $89.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.43 / $135.22 / $181.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.82 / $52.82 / $52.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.87 / $53.87 / $53.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.87 / $53.87 / $89.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.52 / $67.52 / $82.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.82 / $52.82 / $52.82