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Oklahoma rates for HCPCS J2515

Injection, pentobarbital sodium, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.34 / $51.34 / $102.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.34 / $51.34 / $51.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.87 / $53.87 / $53.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.94 / $53.87 / $53.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.60 / $53.91 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.82 / $52.82 / $52.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.41 / $111.41 / $111.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.82 / $52.82 / $52.82