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Indiana rates for HCPCS 49491

Rpr 1st Ingun Hrna Preterm Inft Rdc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$767.47 / $1,391.00 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.15 / $796.65 / $1,081.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,683.00 / $11,305.00 / $30,091.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.12 / $833.90 / $1,150.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$723.77 / $993.41 / $1,596.56
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.77 / $886.98 / $1,277.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.00 / $761.00 / $910.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.11 / $891.17 / $1,514.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,029.00 / $7,830.00 / $11,284.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.04 / $862.40 / $1,527.10