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Iowa rates for HCPCS Q2009

Injection, fosphenytoin, 50 mg phenytoin equivalent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.88 / $4.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $3.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.86 / $1.86
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $28.18 / $151.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $3.31 / $6.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $2.57 / $4.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $6.17 / $6.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $1.35 / $1.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.40 / $2.63
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.51 / $2.51 / $2.51