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Louisiana rates for HCPCS Q2009

Injection, fosphenytoin, 50 mg phenytoin equivalent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.08 / $3.28 / $6.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.08 / $3.08 / $3.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.12 / $4.83 / $6.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $5.42 / $5.53
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.28 / $101.28 / $101.28
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
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.36 / $9.36 / $9.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $2.57 / $5.37