go back

Washington, DC rates for HCPCS J2560

Injection, phenobarbital sodium, up to 120 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.17 / $77.16 / $103.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $30.17 / $30.17
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.36 / $51.02 / $86.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.46 / $28.46 / $30.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.64 / $25.64 / $30.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.45 / $30.17 / $48.90