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North Carolina rates for HCPCS Q2009

Injection, fosphenytoin, 50 mg phenytoin equivalent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $91.20 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $3.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $2.82 / $2.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.63 / $5.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $2.45 / $2.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.45 / $3.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.72 / $3.89 / $4.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $12.59 / $14.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.40 / $4.07
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00