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Illinois rates for HCPCS J1165

Injection, phenytoin sodium, per 50 mg

Facilitymedian $1 · 10th–90th $1–$170%20%40%10th90th$1Professionalmedian $1 · 10th–90th $0–$30%10%10th90th$1$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
$1.02 / $1.12 / $16.60
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.66 / $1.82
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.17 / $2.69 / $8.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.59 / $0.78 / $1.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.42 / $0.42
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.45 / $0.95 / $3.63
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.59 / $0.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.60 / $0.85 / $0.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.52 / $0.60 / $0.65