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Indiana rates for HCPCS J2515

Injection, pentobarbital sodium, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.70 / $126.79 / $228.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.70 / $50.70 / $50.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.60 / $60.74 / $139.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.21 / $22.60 / $33.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.26 / $6.26 / $8.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.26 / $6.26 / $10.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.87 / $53.87 / $53.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.60 / $53.87 / $148.16
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 / $65.50