go back

North Carolina rates for HCPCS Q2009

Injection, fosphenytoin, 50 mg phenytoin equivalent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.79 / $66.84 / $464.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $3.70 / $3.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.39 / $2.72 / $2.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.70 / $2.70 / $4.99
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 / $3.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.61 / $3.70 / $3.92
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.42 / $0.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.36 / $9.36 / $12.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $2.57 / $3.98
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $100.00