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Minnesota rates for HCPCS Q2009

Injection, fosphenytoin, 50 mg phenytoin equivalent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.08 / $3.08 / $3.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $2.56 / $3.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.82 / $10.37 / $19.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.04 / $7.55 / $7.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.78 / $4.78 / $5.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.76 / $1.91
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.39 / $4.36 / $5.47
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $1.50 / $2.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.28 / $5.18 / $13.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $2.57 / $4.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $2.57 / $4.66