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Missouri rates for HCPCS J2560

Injection, phenobarbital sodium, up to 120 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $50.54 / $387.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $31.07 / $50.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.89 / $51.29 / $79.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $30.17 / $37.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.46 / $28.46 / $30.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $30.17 / $30.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.04 / $63.15 / $181.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.26 / $27.36 / $31.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.64 / $30.17 / $37.61