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Georgia rates for HCPCS J1165

Injection, phenytoin sodium, per 50 mg

Facilitymedian $2 · 10th–90th $0–$40%20%10th90th$2Professionalmedian $0 · 10th–90th $0–$10%50%90th$0$0.5$2.0$10.0$50.0$200.0

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
$1.26 / $3.55 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $1.70 / $1.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.42 / $2.09 / $2.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.42 / $0.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.47 / $0.78 / $1.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.42 / $0.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.66 / $0.76 / $0.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.55 / $1.00 / $1.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.52 / $0.60 / $1.20