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Maryland rates for HCPCS J2560

Injection, phenobarbital sodium, up to 120 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.50 / $294.41 / $755.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.73 / $30.17 / $36.65
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.36 / $27.36 / $30.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $30.17 / $38.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $30.17 / $42.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $30.17 / $43.52
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.76 / $30.76 / $30.76