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Kentucky rates for HCPCS J1165

Injection, phenytoin sodium, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.54 / $0.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.45 / $0.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.72
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.48 / $0.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.45 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.94 / $0.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.45