go back

Indiana rates for HCPCS Q2009

Injection, fosphenytoin, 50 mg phenytoin equivalent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.46 / $8.59 / $1,363.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $2.46 / $2.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $2.96 / $6.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.19 / $1.41 / $2.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.39 / $2.39 / $2.87
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.39 / $2.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.62 / $2.62 / $2.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $2.62 / $10.03
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 / $3.43