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Indiana rates for HCPCS 80186

Phenytoin; free

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.28 / $20.64 / $50.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.01 / $11.83 / $13.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.87 / $13.12 / $41.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.80 / $6.80 / $10.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.76 / $16.67 / $18.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.76 / $15.82 / $19.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.07 / $13.76 / $35.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.06 / $16.11 / $35.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.75 / $46.75 / $46.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $8.26 / $13.76