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North Carolina rates for HCPCS J2515

Injection, pentobarbital sodium, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.18 / $50.97 / $53.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.73 / $53.88 / $53.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.69 / $61.20 / $77.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.02 / $52.02 / $55.46
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 / $63.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.88 / $57.11 / $69.72
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.24 / $12.24 / $12.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.37 / $82.37 / $111.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.82 / $52.82 / $68.67
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $170.50