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Connecticut rates for HCPCS 49491

Rpr 1st Ingun Hrna Preterm Inft Rdc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,707.00 / $7,629.00 / $10,260.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.85 / $1,089.32 / $1,995.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.91 / $6,543.00 / $16,131.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.22 / $1,635.07 / $2,029.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$998.00 / $998.00 / $998.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.32 / $1,206.31 / $2,392.00
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.04 / $2,468.46 / $2,597.87
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.33 / $1,248.11 / $1,659.61
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,260.78 / $1,260.78 / $1,260.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,048.00 / $7,771.00 / $11,371.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.93 / $1,248.53 / $3,022.94