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North Carolina rates for HCPCS J2560

Injection, phenobarbital sodium, up to 120 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $75.86 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $28.84 / $61.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $87.10 / $117.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $36.31 / $36.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $47.86
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $38.90 / $46.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $48.98 / $54.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $39.81
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97