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Oklahoma rates for HCPCS J2560

Injection, phenobarbital sodium, up to 120 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.73 / $39.47 / $136.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.58 / $32.58 / $32.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.42 / $42.59 / $66.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.46 / $28.46 / $30.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.05 / $30.17 / $30.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.36 / $42.04 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.36 / $27.36 / $29.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $30.17 / $30.17