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Rhode Island rates for HCPCS J2515

Injection, pentobarbital sodium, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.99 / $205.99 / $205.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.70 / $50.70 / $53.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.87 / $55.99 / $59.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.63 / $45.63 / $45.63
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $52.82 / $52.82