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Illinois rates for HCPCS Q2009

Fosphenytoin Inj Pe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.44 / $5.39 / $348.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $2.46 / $3.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.68 / $27.58 / $82.29
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.34 / $30.79 / $120.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.36 / $12.67 / $12.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $2.57 / $3.44