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Oklahoma rates for HCPCS J1165

Injection, phenytoin sodium, per 50 mg

Facilitymedian $1 · 10th–90th $1–$10%10%20%10th90th$1Professionalmedian $1 · 10th–90th $0–$10%20%40%10th90th$1$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
$1.10 / $1.10 / $1.26
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.51 / $0.81 / $1.32
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.63 / $1.12 / $1.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.42 / $0.42
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.65 / $0.76 / $75.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.52 / $0.66 / $0.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.52 / $0.85 / $0.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.52 / $0.60 / $0.60