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Washington, DC rates for HCPCS J2515

Injection Pentobarbital Sodium Per 50 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.87 / $7,163.10 / $7,163.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.87 / $53.87 / $53.87
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.60 / $22.60 / $22.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.87 / $53.87 / $53.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.67 / $16.67 / $16.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.07 / $52.82 / $85.61