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North Dakota rates for HCPCS Q2009

Injection, fosphenytoin, 50 mg phenytoin equivalent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.46 / $2.46 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $3.08 / $3.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.70 / $2.71 / $2.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.71 / $2.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $1.52 / $1.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.62 / $3.28 / $7.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $2.57 / $2.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $2.57 / $2.79