go back

Tennessee rates for HCPCS J2560

Injection, phenobarbital sodium, up to 120 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.36 / $48.97 / $457.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $30.17 / $33.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.13 / $48.13 / $48.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.17 / $30.17 / $30.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $30.17 / $30.17
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $181.25 / $181.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $30.17 / $39.85