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Missouri rates for HCPCS Q2009

Injection, fosphenytoin, 50 mg phenytoin equivalent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.46 / $10.66 / $263.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $2.46 / $3.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $3.47 / $6.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.22 / $4.29
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.62 / $7.36 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $2.57 / $2.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.28 / $10.28 / $13.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $2.57 / $3.20