go back

Wyoming rates for HCPCS J2560

Injection, phenobarbital sodium, up to 120 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.36 / $33.46 / $150.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.36 / $27.36 / $30.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.19 / $46.11 / $46.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.46 / $28.46 / $28.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $30.17 / $42.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $30.17 / $30.17