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New Hampshire rates for HCPCS Q2009

Injection, fosphenytoin, 50 mg phenytoin equivalent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $2.45 / $2.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $2.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $4.57 / $8.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.45 / $2.82
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 / $2.45
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $3.89 / $4.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.29 / $3.72