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Idaho rates for HCPCS J2560

Injection, phenobarbital sodium, up to 120 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $218.78 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $30.90 / $36.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $36.31 / $100.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $47.86 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $28.84 / $28.84
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 / $32.36 / $218.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $36.31
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $87.10 / $102.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $34.67 / $36.31
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $23.44 / $23.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84