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Pennsylvania rates for HCPCS J2560

Injection, phenobarbital sodium, up to 120 mg

Facilitymedian $81 · 10th–90th $30$4270%10%10th90th$81Professionalmedian $29 · 10th–90th $29$440%50%90th$29$0.5$5.0$50.0$500.0$5.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $85.11 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $75.86
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $37.15
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $31.62 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $83.18 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $40.74 / $40.74
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $52.48 / $186.21
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $37.15
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $43.65 / $77.62
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $30.90
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $45.71 / $58.88
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $45.71 / $58.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $44.67