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Missouri rates for HCPCS J2515

Injection, pentobarbital sodium, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.70 / $66.55 / $12,614.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.70 / $50.70 / $66.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.60 / $77.11 / $139.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.54 / $47.54 / $63.39
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
$41.46 / $75.00 / $237.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.90 / $52.82 / $60.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.39 / $85.39 / $114.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.90 / $52.82 / $61.11