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Michigan rates for HCPCS Q2009

Injection, fosphenytoin, 50 mg phenytoin equivalent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.46 / $2.62 / $8.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $2.46 / $2.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.73 / $1.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.32 / $0.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.84 / $2.62 / $4.90
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $3.18 / $7.29
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $2.58 / $3.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $2.57 / $2.73