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Pennsylvania rates for HCPCS J2515

Injection, pentobarbital sodium, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.87 / $82.85 / $282.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.87 / $53.87 / $88.90
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.51 / $53.54 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.54 / $53.54 / $53.54
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
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.28 / $187.28 / $191.22
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.87 / $91.04 / $473.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.98 / $53.87 / $107.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.87 / $53.87 / $53.87
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.87 / $53.87 / $53.87
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.60 / $22.60 / $26.22
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.60 / $22.60 / $26.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.82 / $52.82 / $74.59