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Indiana rates for HCPCS J2560

Injection, phenobarbital sodium, up to 120 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $81.28 / $630.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $30.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $43.65 / $67.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $56.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $45.71 / $60.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $87.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $48.98 / $48.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $36.31