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Phenytoin Injection

Arizona rates for HCPCS J1165

Injection, phenytoin sodium, per 50 mg

Rates data updated October 2026.

How much does Phenytoin Injection cost?

$0.87per 50 mg

Typical negotiated rate. In Arizona, October 2026.

Insurers have agreed to pay about $0.87 for each 50 mg of this drug. The price depends on where it is billed: about $0.60 from a physician practice, and about $1.45 from a hospital or other facility.

Work out the cost of a dose

This drug is priced per 50 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$0.60
At a hospital outpatient department
$1.45

The same drug, in the same amount, costs 140% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.60$0.42 to $0.66
FacilityA hospital or hospital-owned outpatient department$1.45$0.85 to $2.19

How much rates vary

Facilitymedian $1 · 10th to 90th $0 to $3Professionalmedian $1 · 10th to 90th $0 to $1
$0.5$1$2facility $1professional $1

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$0.60
Median
$0.68
Typical High
$0.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$0.60
Median
$0.60
Typical High
$0.60
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$0.46
Median
$1.74
Typical High
$2.95
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$0.40
Median
$0.40
Typical High
$2.82
Cigna
Setting
Facility
Modifier
None
Typical Low
$0.68
Median
$0.95
Typical High
$1.02
Cigna
Setting
Professional
Modifier
None
Typical Low
$0.55
Median
$0.55
Typical High
$0.55
Medica
Setting
Facility
Modifier
None
Typical Low
$0.66
Median
$0.81
Typical High
$1.02
Medica
Setting
Professional
Modifier
None
Typical Low
$0.66
Median
$0.66
Typical High
$0.66
United
Setting
Professional
Modifier
None
Typical Low
$0.42
Median
$0.42
Typical High
$0.42
4 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$0.30
Median
$0.30
Typical High
$0.30
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.12
Median
$0.12
Typical High
$0.12
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.09
Median
$0.09
Typical High
$0.09
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.06
Median
$0.06
Typical High
$0.06

Where Arizona sits

The same service costs 2.1 times more in Arizona than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Arizona· 1st of 51

$0.87

AZ $0.87MD $0.42

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.