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New Mexico rates for HCPCS Q2009

Injection, fosphenytoin, 50 mg phenytoin equivalent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $5.50 / $5.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,234.13 / $69,183.10 / $81,283.05
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
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $3.80 / $7.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $2.34 / $2.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $1.35 / $2.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.40 / $2.75