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Kansas rates for HCPCS J2515

Injection, pentobarbital sodium, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.70 / $63.38 / $99.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.70 / $50.70 / $63.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.62 / $60.91 / $67.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.10 / $43.10 / $43.10
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
$18.48 / $63.38 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.82 / $52.82 / $62.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.82 / $52.82 / $63.77