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Iowa rates for HCPCS Q2009

Fosphenytoin Inj Pe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.28 / $3.28 / $6.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $2.46 / $3.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $1.88 / $1.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $28.07 / $79.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $3.28 / $6.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $2.57 / $4.63
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.33 / $4.36 / $7.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $3.65 / $6.69
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 / $2.65
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65