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California rates for HCPCS J1165

Injection, phenytoin sodium, per 50 mg

Facilitymedian $1 · 10th–90th $0$10%10%10th90th$1Professionalmedian $1 · 10th–90th $0$20%20%10th90th$1$0.2$1.0$5.0$20.0$100.0$500.0

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
$1.20 / $1.29 / $2.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $1.58 / $1.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.46 / $0.60 / $0.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.63 / $1.74
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.87 / $0.87 / $1.20
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.78 / $1.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.44 / $0.72 / $0.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.42 / $0.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.38 / $0.60 / $1.35
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.47 / $0.47 / $0.47
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.44 / $0.79 / $1.26
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.42 / $0.91
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.87 / $0.87 / $0.87
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.34 / $0.46 / $0.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $2.82 / $2.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $1.62