go back

Minnesota rates for HCPCS J2515

Injection, pentobarbital sodium, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.38 / $63.38 / $63.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.70 / $52.61 / $88.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $52.17 / $80.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.10 / $53.88 / $53.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.62 / $73.34 / $89.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.26 / $27.02 / $29.24
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.76 / $66.93 / $84.00
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.03 / $23.03 / $31.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.63 / $22.60 / $85.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.82 / $52.82 / $95.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.82 / $52.82 / $95.75