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Nebraska rates for HCPCS J2560

Injection, phenobarbital sodium, up to 120 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.36 / $57.99 / $319.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.36 / $30.17 / $124.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.61 / $33.78 / $34.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.43 / $32.43 / $34.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.00 / $51.00 / $51.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.17 / $37.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.14 / $49.11 / $181.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.50 / $27.36 / $30.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.06 / $36.97 / $55.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.43 / $43.35 / $108.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.66 / $30.17 / $33.19