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Virginia rates for HCPCS J1165

Injection, phenytoin sodium, per 50 mg

Facilitymedian $1 · 10th–90th $1–$1910%10%10th90th$1Professionalmedian $0 · 10th–90th $0–$10%50%90th$0$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
$1.23 / $1.62 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.35 / $1.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.42 / $0.71
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.89 / $1.02 / $1.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.59 / $0.79 / $1.05
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.42 / $0.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.36 / $0.60 / $1.29
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.12 / $1.12
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.60 / $0.89 / $2.00
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.40 / $0.51 / $0.98
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.40 / $0.51 / $0.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.85 / $0.85 / $1.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.52 / $0.60 / $0.76