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Utah rates for HCPCS Q2009

Injection, fosphenytoin, 50 mg phenytoin equivalent

Facilitymedian $2 · 10th–90th $2–$2950%50%90th$2Professionalmedian $2 · 10th–90th $2–$20%50%90th$2$2.0$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $2.34 / $2.34
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.89 / $6.31
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $2.69 / $5.13
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.17 / $1.45 / $1.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $2.40