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Tennessee rates for HCPCS Q2009

Injection, fosphenytoin, 50 mg phenytoin equivalent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.56 / $4.76 / $334.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $2.56 / $2.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.29 / $4.29
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.68 / $12.67 / $16.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $2.57 / $6.26