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Montana rates for HCPCS Q2009

Injection, fosphenytoin, 50 mg phenytoin equivalent

Facilitymedian $5 · 10th–90th $1–$64,5650%50%10th90th$5Professionalmedian $2 · 10th–90th $2–$50%50%90th$2$1.0$10.0$100.0$1.0K$10.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.40
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.26 / $69,183.10 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $9.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $2.34 / $4.17
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.98 / $4.57 / $4.68
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.98 / $4.57 / $4.68
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $9.33
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $5.13 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $2.29