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Ohio rates for HCPCS J1165

Injection, phenytoin sodium, per 50 mg

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

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
$1.02 / $1.29 / $1.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.51 / $1.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.45 / $0.89 / $2.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.50 / $0.87
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.45 / $0.45 / $0.45
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.62 / $0.62 / $0.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.79 / $0.89 / $1.41
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.42 / $0.87
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $0.56 / $0.59
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.59 / $1.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.45 / $0.63 / $0.83
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.39 / $0.71 / $0.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.63 / $1.12 / $1.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.52 / $0.60 / $0.65