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Pennsylvania rates for HCPCS Q2009

Injection, fosphenytoin, 50 mg phenytoin equivalent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.62 / $6.53 / $586.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $2.62 / $2.79
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $4.73 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.73 / $4.73 / $4.73
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
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.17 / $43.24 / $56.52
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $6.78 / $586.08
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $2.79 / $4.19
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.62 / $2.62 / $2.62
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $2.62 / $2.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $2.57 / $4.70