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Ohio rates for HCPCS Q2009

Injection, fosphenytoin, 50 mg phenytoin equivalent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.46 / $7.28 / $247.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $2.46 / $7.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.42 / $2.62 / $6.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.48 / $4.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.36 / $2.36 / $3.89
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.36 / $2.36 / $2.36
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 / $4.01
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.19 / $32.19 / $32.19
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $2.62 / $4.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $1.76 / $2.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.36 / $9.36 / $9.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $2.57 / $3.35