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Massachusetts rates for HCPCS Q2009

Injection, fosphenytoin, 50 mg phenytoin equivalent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.62 / $6.16 / $279.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $2.62 / $2.72
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $6.83 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.57 / $6.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.14 / $3.74 / $7.97
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.74 / $3.74 / $4.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $2.62 / $5.55
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.44 / $41.44 / $41.44
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $2.57 / $6.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $2.57 / $6.26