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Washington rates for HCPCS J2560

Injection, phenobarbital sodium, up to 120 mg

Facilitymedian $65 · 10th–90th $32–$1,2300%10%10th90th$65Professionalmedian $30 · 10th–90th $29–$360%50%10th90th$30$20.0$50.0$100.0$200.0$500.0$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
$31.62 / $72.44 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $30.20 / $50.12
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $87.10
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $28.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $47.86 / $63.10
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $39.81 / $39.81
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $32.36 / $32.36
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $87.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $69.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $29.51
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $28.84 / $38.02