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Illinois rates for HCPCS J2560

Injection, phenobarbital sodium, up to 120 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.36 / $53.09 / $256.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.36 / $30.17 / $33.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.82 / $221.50 / $759.18
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.30 / $36.20 / $212.49
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.22 / $39.22 / $39.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $30.17 / $39.85