go back

New Hampshire rates for HCPCS J1165

Injection, phenytoin sodium, per 50 mg

Facilitymedian $1 · 10th–90th $1–$20%20%10th90th$1Professionalmedian $1 · 10th–90th $0–$10%20%10th90th$1$0.5$1.0

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 / $1.20 / $1.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.38 / $1.66 / $1.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.59 / $0.87 / $1.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.42 / $0.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.47 / $0.83 / $1.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.42 / $0.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.45 / $0.72 / $0.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.87