go back

Maryland rates for HCPCS Q2009

Injection, fosphenytoin, 50 mg phenytoin equivalent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $83.18 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $2.00 / $3.39
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.45 / $2.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.45 / $2.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $4.17 / $6.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.40 / $2.75
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.45