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Georgia rates for HCPCS Q2009

Injection, fosphenytoin, 50 mg phenytoin equivalent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.56 / $6.53 / $1,911.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.56 / $3.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $2.57 / $5.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $2.93 / $6.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $2.52 / $4.94
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.65 / $50.12 / $51.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.68 / $14.98 / $14.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $2.57 / $3.93