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North Dakota 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 / $54.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $30.17 / $33.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.72 / $32.89 / $33.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.82 / $32.84 / $33.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.17 / $37.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.36 / $38.42 / $48.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.36 / $27.36 / $30.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.64 / $30.17 / $32.77