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Alaska rates for HCPCS Q2009

Injection, fosphenytoin, 50 mg phenytoin equivalent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $234.42 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $3.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.45 / $2.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $173.78 / $645.65
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.63 / $60.26
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $6.03 / $7.24
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.09 / $3.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $3.89 / $5.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $2.63 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $3.63 / $107.15