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Massachusetts rates for HCPCS J1165

Injection, phenytoin sodium, per 50 mg

Facilitymedian $1 · 10th–90th $0–$20%20%10th90th$1Professionalmedian $0 · 10th–90th $0–$20%50%90th$0$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$1.05 / $1.20 / $31.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $1.82 / $1.82
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.63 / $1.29 / $3.72
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.60 / $1.10
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.42 / $0.42 / $0.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.55 / $0.89 / $1.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.42 / $1.45
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.42 / $0.62 / $6,918.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.42 / $0.76
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.63 / $1.29 / $3.72
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.60 / $1.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.52 / $0.85 / $1.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.60 / $1.10