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Michigan rates for HCPCS J1165

Injection, phenytoin sodium, per 50 mg

Facilitymedian $2 · 10th–90th $1–$20%10%20%10th90th$2Professionalmedian $1 · 10th–90th $0–$10%20%10th90th$1$0.2$0.5$1.0$2.0$5.0$10.0$20.0

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
$1.07 / $1.70 / $1.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $1.38 / $1.82
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $1.32 / $2.57
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.23 / $0.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.87 / $0.87
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.68 / $1.58 / $1.91
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.68 / $1.02
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.83 / $0.87 / $0.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.52 / $0.60 / $0.65