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Kentucky rates for HCPCS J2560

Injection, phenobarbital sodium, up to 120 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $41.69 / $741.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $30.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $34.67 / $34.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $47.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $31.62 / $42.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $128.82 / $128.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84