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West Virginia rates for HCPCS Q2009

Injection, fosphenytoin, 50 mg phenytoin equivalent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.62 / $19.30 / $19.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $2.62 / $2.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.23 / $2.29 / $3.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.62 / $2.62 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $2.62 / $5.45
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $2.57 / $7.36