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Iowa rates for HCPCS J1165

Injection, phenytoin sodium, per 50 mg

Facilitymedian $1 · 10th–90th $0–$10%20%40%10th90th$1Professionalmedian $1 · 10th–90th $1–$20%10%20%10th90th$1$0.5$2.0$10.0$50.0

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 / $2.24 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $1.02 / $1.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.63 / $0.76
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.45 / $0.93 / $2.95
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.62 / $0.89 / $5.62
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.56 / $0.66 / $1.15
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.62 / $0.62 / $0.68
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.85 / $0.85 / $0.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.52 / $0.60 / $0.65
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.45 / $0.60 / $0.60