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Delaware rates for HCPCS J2560

Injection, phenobarbital sodium, up to 120 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.45 / $30.17 / $77.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $63.78 / $63.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $30.17 / $30.17
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.15 / $161.15 / $269.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $45.26 / $45.94