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New York rates for HCPCS Q2009

Injection, fosphenytoin, 50 mg phenytoin equivalent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.62 / $114.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.13 / $2.46 / $2.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.57 / $2.57
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $3.63 / $3.99
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $3.63 / $3.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.50 / $2.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $2.62 / $2.62
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $2.86 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.13 / $2.70 / $2.70
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.66 / $2.66 / $3.82
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.66 / $2.66 / $3.82
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.50 / $1.50 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $2.62 / $5.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $2.57 / $4.01
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.64 / $3.82 / $3.82
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.64 / $3.82