go back

New Hampshire rates for HCPCS Q2009

Fosphenytoin Inj Pe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.79 / $2.79 / $3.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $2.62 / $2.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $4.23 / $6.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $2.61 / $2.74
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 / $2.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.56 / $4.36 / $8.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $2.57 / $2.57
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.58 / $5.64 / $8.64