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Louisiana rates for HCPCS 49491

Rpr 1st Ingun Hrna Preterm Inft Rdc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.00 / $2,418.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.16 / $1,144.30 / $1,306.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,479.82 / $7,447.78 / $11,342.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.99 / $1,160.04 / $1,388.11
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $744.42 / $744.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.00 / $675.00 / $1,100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.42 / $1,069.06 / $1,737.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,238.00 / $8,488.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.68 / $953.59 / $1,711.79