go back

New Jersey rates for HCPCS J2515

Injection, pentobarbital sodium, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $69.18 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $42.66 / $53.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $53.70 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $42.66 / $42.66
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $10,471.29 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $53.70 / $53.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $47.86 / $61.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $42.66 / $52.48