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Texas rates for HCPCS J1165

Injection, phenytoin sodium, per 50 mg

Facilitymedian $1 · 10th–90th $0–$830%10%10th90th$1Professionalmedian $1 · 10th–90th $0–$20%20%10th90th$1$0.2$1.0$5.0$20.0$100.0

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
$1.05 / $2.40 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $1.20 / $2.40
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.34 / $0.81 / $1.62
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $0.48 / $0.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.47 / $1.02 / $2.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.42 / $0.42
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.60 / $1.02 / $141.25
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $1.05 / $2.40
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.46 / $0.46 / $0.60
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.42 / $0.79 / $1.32
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.42 / $0.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.63 / $0.85 / $0.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.52 / $0.60 / $0.60