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South Carolina rates for HCPCS J1165

Injection, phenytoin sodium, per 50 mg

Facilitymedian $2 · 10th–90th $1–$30%20%10th90th$2Professionalmedian $1 · 10th–90th $0–$10%20%10th90th$1$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
$2.24 / $2.51 / $2.51
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.38 / $1.74 / $1.74
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.65 / $1.48 / $28.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.39 / $0.43 / $0.59
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.47 / $0.60 / $1.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.42 / $0.42
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.62 / $0.83 / $1.26
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.85 / $0.85 / $0.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.52 / $0.60 / $0.69