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Alaska rates for HCPCS 49491

Rpr 1st Ingun Hrna Preterm Inft Rdc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,292.52 / $9,774.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.44 / $868.45 / $4,191.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.90 / $1,194.33 / $2,645.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$798.14 / $4,191.17 / $5,867.64
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,960.20 / $2,901.33 / $5,353.76
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,093.91 / $3,712.00 / $5,969.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$798.14 / $4,191.17 / $5,867.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.18 / $2,875.20 / $5,112.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,832.71 / $2,116.69 / $5,838.58