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Massachusetts rates for HCPCS J2515

Injection, pentobarbital sodium, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.87 / $53.87 / $126.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.87 / $53.87 / $53.87
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.58 / $53.88 / $178.50
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.82 / $53.88 / $68.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.61 / $76.83 / $163.77
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.60 / $22.60 / $52.66
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $170.50
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.82 / $52.82 / $79.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.82 / $52.82 / $73.95