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Wisconsin rates for HCPCS J2560

Injection, phenobarbital sodium, up to 120 mg

Facilitymedian $58 · 10th–90th $30$2090%20%10th90th$58Professionalmedian $29 · 10th–90th $23$680%20%40%10th90th$29$5.0$20.0$100.0$500.0

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
$30.20 / $57.54 / $363.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $48.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $29.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $30.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $72.44 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $37.15 / $53.70
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $66.07
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $60.26 / $60.26
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $60.26 / $151.36
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $46.77
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $33.11 / $48.98
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $37.15 / $97.72
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $181.97
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $48.98
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 / $40.74