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New Jersey rates for HCPCS J2560

Injection, phenobarbital sodium, up to 120 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.17 / $47.88 / $284.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $30.17 / $30.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.63 / $53.69 / $69.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $30.17 / $30.17
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.44 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.36 / $27.36 / $35.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.95 / $44.95 / $55.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $30.17 / $36.97