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New York rates for HCPCS 80185

Phenytoin; total

Facilitymedian $26 · 10th–90th $11$470%10%20%10th90th$26Professionalmedian $11 · 10th–90th $7$260%20%10th90th$11$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$11.48 / $28.18 / $46.77
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $11.75 / $21.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $34.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $6.92 / $30.90
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $13.18 / $13.18
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $13.18 / $13.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $28.84 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $19.05 / $89.13
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $17.78 / $47.86
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $9.33 / $25.70
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $10.72
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $12.59 / $17.78
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $33.11 / $120.23
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $8.91
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $23.99 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $15.85 / $21.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $10.96 / $30.20
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $11.22 / $36.31
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $13.18 / $48.98