go back

Hawaii rates for HCPCS J1165

Injection, phenytoin sodium, per 50 mg

Professionalmedian $1 · 10th–90th $1$10%50%10th$1$0.5$1.0

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
Professional
Modifier
Typical Low / Median / Typical High
$1.38 / $1.66 / $1.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.42 / $0.56
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.74 / $0.74 / $0.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.46 / $0.51 / $0.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.56 / $0.60 / $0.89