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West Virginia rates for HCPCS J2560

Injection, phenobarbital sodium, up to 120 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.64 / $119.59 / $1,350.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.64 / $30.17 / $30.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.17 / $45.26 / $45.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.46 / $30.17 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $30.17 / $61.84
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.26 / $47.26 / $81.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $30.17 / $46.88