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Utah rates for HCPCS J2560

Injection, phenobarbital sodium, up to 120 mg

Facilitymedian $219 · 10th–90th $34–$8320%10%20%10th90th$219Professionalmedian $33 · 10th–90th $29–$1950%20%10th90th$33$10.0$50.0$200.0$1.0K

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
$33.88 / $218.78 / $831.76
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $33.11 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $41.69 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $107.15 / $147.91
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $24.55
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $23.44 / $34.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84