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Massachusetts rates for HCPCS J2560

Injection, phenobarbital sodium, up to 120 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.17 / $290.64 / $836.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $31.37 / $32.83
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.82 / $44.93 / $99.95
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $30.17 / $39.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $38.50 / $82.06
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.90 / $60.34 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $30.17 / $63.96
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.14 / $149.83 / $665.56
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $181.25
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $30.17 / $45.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $30.17 / $42.24