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Phenytoin Injection

Utah rates for HCPCS J1165

Injection, phenytoin sodium, per 50 mg

Rates data updated July 2026.

Facilitymedian $0 · 10th–90th $0$10%50%90th$0Professionalmedian $0 · 10th–90th $0$10%50%10th90th$0$0.5$1.0

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
Setting
Facility
Modifier
Global
Typical Low
$0.49
Median
$0.49
Typical High
$0.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.49
Median
$0.49
Typical High
$0.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.62
Median
$0.78
Typical High
$1.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.42
Median
$0.42
Typical High
$0.42
Select Health
Setting
Facility
Modifier
Global
Typical Low
$0.46
Median
$0.46
Typical High
$0.46
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$0.38
Median
$0.42
Typical High
$0.72
United
Setting
Professional
Modifier
Global
Typical Low
$0.60
Median
$0.60
Typical High
$0.60