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Ohio rates for HCPCS J2515

Injection, pentobarbital sodium, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.70 / $137.54 / $211.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.70 / $50.70 / $140.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.76 / $42.04 / $123.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.60 / $24.09 / $68.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.19 / $6.19 / $10.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.19 / $6.19 / $6.19
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 / $84.77
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.87 / $53.87 / $53.87
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.87 / $53.87 / $84.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.86 / $28.25 / $32.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.37 / $82.37 / $82.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.82 / $52.82 / $69.19