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Colorado rates for HCPCS J1165

Injection, phenytoin sodium, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $1.31 / $1.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.70 / $0.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.57 / $0.81 / $1.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.45
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $0.66 / $0.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.50 / $0.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.45