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Virginia rates for HCPCS Q2009

Injection, fosphenytoin, 50 mg phenytoin equivalent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.62 / $6.03 / $224.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $2.62 / $2.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $2.98 / $4.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $2.46 / $2.46
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.70 / $3.86 / $7.36
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.08 / $3.08 / $14.70
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.44 / $2.57 / $3.29
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.44 / $2.57 / $3.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.52 / $12.67 / $12.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.57 / $3.23