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Arizona rates for HCPCS Q2009

Fosphenytoin Inj Pe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.30 / $6.16 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.49 / $2.49 / $2.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.44 / $9.32 / $15.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $2.62 / $16.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.62 / $2.62 / $2.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $2.62 / $2.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.66 / $3.80 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $2.57 / $2.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.67 / $12.67 / $12.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $2.57 / $2.57