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Minnesota rates for HCPCS J2560

Injection, phenobarbital sodium, up to 120 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.17 / $30.17 / $251.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $30.17 / $124.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $56.42 / $101.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.89 / $27.36 / $31.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.21 / $101.89 / $124.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.30 / $37.53 / $38.10
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.07 / $92.98 / $116.69
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $40.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.34 / $39.86 / $73.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.36 / $27.36 / $49.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $30.17 / $41.64