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Kentucky rates for HCPCS Q2009

Injection, fosphenytoin, 50 mg phenytoin equivalent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.46 / $2.46 / $5.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $2.46 / $2.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.60 / $1.66 / $3.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.19 / $1.41 / $1.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.34 / $4.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $2.27 / $3.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.62 / $2.62 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.19 / $2.62 / $5.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $2.57 / $2.57