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Montana rates for HCPCS J2560

Injection, phenobarbital sodium, up to 120 mg

Facilitymedian $43 · 10th–90th $33–$1,8200%20%10th90th$43Professionalmedian $31 · 10th–90th $29–$870%50%10th90th$31$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $316.23 / $1,819.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $29.51 / $87.10
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $77.62 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $33.88
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $34.67 / $95.50
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $34.67 / $95.50
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $125.89
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $33.11 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84