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New York rates for HCPCS J2560

Injection, phenobarbital sodium, up to 120 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.36 / $33.38 / $60.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $30.17 / $36.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $30.17 / $50.39
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.24 / $42.24 / $44.35
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.24 / $42.24 / $42.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.46 / $28.46 / $48.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $30.17 / $30.17
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.46 / $52.08 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.72 / $32.72 / $58.74
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.17 / $30.17 / $31.30
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $30.17 / $31.30
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.46 / $28.46 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $30.17 / $45.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $30.17 / $46.88
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.30 / $31.30 / $31.30
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.46 / $30.17 / $31.30