go back

Arizona rates for HCPCS J2560

Injection, phenobarbital sodium, up to 120 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.28 / $65.78 / $869.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.10 / $33.18 / $124.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.65 / $99.84 / $167.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.21 / $26.49 / $191.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.17 / $30.17 / $30.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $30.17 / $30.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.50 / $36.11 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.36 / $27.36 / $27.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $30.17 / $30.17