go back

Illinois rates for HCPCS J2515

Injection, pentobarbital sodium, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.70 / $102.68 / $188.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.70 / $50.70 / $63.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.15 / $240.70 / $542.82
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 / $53.87
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $106.40 / $131.19
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.37 / $111.41 / $111.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.82 / $52.82 / $57.39