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Pennsylvania rates for HCPCS 80185

Phenytoin; total

Facilitymedian $38 · 10th–90th $13$780%10%20%10th90th$38Professionalmedian $11 · 10th–90th $9$830%20%40%10th90th$11$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$15.49 / $38.90 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.96 / $83.18
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $64.57 / $851.14
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $93.33 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $41.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $19.95 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $16.98 / $32.36
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $10.72 / $19.05
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $13.18
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $14.79 / $22.91
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $45.71 / $85.11
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $10.23
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $53.70 / $125.89
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $20.42 / $45.71
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.96 / $20.42
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $17.38 / $19.95
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $17.38 / $20.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $13.18 / $15.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $9.77 / $22.91