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Arkansas rates for HCPCS J2560

Injection Phenobarbital Sodium Up To 120 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.83 / $76.31 / $314.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $32.83 / $36.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.68 / $29.68 / $29.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.68 / $29.68 / $30.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.46 / $30.17 / $47.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $30.17 / $30.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $30.17 / $39.85