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Utah rates for HCPCS Q2009

Fosphenytoin Inj Pe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.56 / $2.56 / $2.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $2.56 / $2.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $2.62 / $2.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.48 / $6.20 / $8.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.44 / $2.57 / $2.57