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Illinois rates for HCPCS 80185

Phenytoin; total

Facilitymedian $28 · 10th–90th $13–$1700%5%10th90th$28Professionalmedian $11 · 10th–90th $3–$300%20%10th90th$11$5.0$10.0$20.0$50.0$100.0$200.0

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
$13.49 / $27.54 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.02 / $30.20
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $8.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $40.74 / $134.90
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $9.12 / $10.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $30.90 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $15.49 / $23.99
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $26.30 / $151.36
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $17.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $13.18 / $26.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $8.91 / $13.18