go back

Arizona rates for HCPCS J1165

Injection, phenytoin sodium, per 50 mg

Facilitymedian $1 · 10th–90th $1–$30%10%20%10th90th$1Professionalmedian $2 · 10th–90th $1–$20%50%10th90th$2$0.5$2.0$10.0$50.0$200.0$1.0K

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
$1.05 / $1.26 / $3.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $1.74 / $1.82
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.46 / $1.74 / $3.09
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.58 / $1.15 / $4.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.43 / $0.69 / $0.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.42 / $0.42
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.66 / $1.02 / $75.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.66 / $0.66 / $0.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.60 / $0.85 / $0.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.52 / $0.60 / $0.60