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New Hampshire rates for HCPCS Q2009

Injection, fosphenytoin, 50 mg phenytoin equivalent

Facilitymedian $3 · 10th–90th $2–$70%10%10th90th$3Professionalmedian $2 · 10th–90th $2–$40%20%10th90th$2$1.0$2.0$5.0$10.0

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
$2.45 / $2.45 / $2.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $2.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.86 / $4.37 / $6.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $2.34 / $2.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $5.01 / $6.46
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $2.34 / $2.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $4.07 / $4.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $2.29 / $4.68