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Alaska rates for HCPCS J2560

Injection, phenobarbital sodium, up to 120 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $416.87 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $831.76
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $93.33
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $67.61 / $104.71
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $27.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $53.70 / $77.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $31.62 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $43.65 / $316.23