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Arizona rates for HCPCS J2515

Injection, pentobarbital sodium, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.82 / $93.95 / $190.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.34 / $61.61 / $88.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.63 / $188.46 / $298.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.86 / $50.70 / $335.98
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 / $53.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.38 / $56.47 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.82 / $52.82 / $52.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.41 / $111.41 / $111.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.82 / $52.82 / $52.82