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Rhode Island rates for HCPCS J2560

Injection, phenobarbital sodium, up to 120 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $660.69 / $660.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $28.84 / $30.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $30.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $28.84 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84