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New York rates for HCPCS J1165

Injection, phenytoin sodium, per 50 mg

Facilitymedian $1 · 10th–90th $0–$160%20%10th90th$1Professionalmedian $0 · 10th–90th $0–$20%50%90th$0$0.2$2.0$20.0$200.0$2.0K$20.0K

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 / $1.41 / $15.85
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $1.70 / $1.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.42 / $0.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.43 / $0.56 / $0.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.42 / $1.91
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.40 / $0.52 / $1.45
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.46 / $0.46 / $0.83
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.45 / $0.45 / $0.47
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.45 / $0.45 / $0.47
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.83 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $0.56 / $0.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.54 / $0.65 / $1.48
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.45 / $0.45 / $0.54
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.37 / $0.45 / $0.54