go back

Wisconsin rates for HCPCS 80185

Phenytoin; total

Facilitymedian $32 · 10th–90th $12$1620%10%10th90th$32Professionalmedian $12 · 10th–90th $7$870%10%10th90th$12$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
$19.95 / $36.31 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.02 / $95.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $35.48 / $36.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $52.48
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $7.24 / $7.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $41.69 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $41.69
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $28.84 / $104.71
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $12.88 / $67.61
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $10.96 / $30.20
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $33.11 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $38.02
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $21.88 / $37.15
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $33.88 / $91.20
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $67.61
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $8.91 / $13.18
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $28.18
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $67.61 / $81.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $11.75 / $15.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $10.72 / $30.20