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Mississippi rates for HCPCS J2560

Injection, phenobarbital sodium, up to 120 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.17 / $36.20 / $76.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $31.67 / $40.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.86 / $30.17 / $30.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $30.17 / $30.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.96 / $30.17 / $39.22