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Massachusetts rates for HCPCS 49491

Rpr 1st Ingun Hrna Preterm Inft Rdc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.51 / $2,747.00 / $5,039.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.02 / $796.65 / $1,209.65
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541.00 / $3,245.00 / $13,486.75
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.66 / $1,535.05 / $7,231.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.54 / $1,519.12 / $2,057.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $680.00 / $748.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.82 / $1,320.82 / $2,773.38
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,266.83 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.88 / $1,140.89 / $1,675.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.87 / $1,959.93 / $2,472.84
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,260.78 / $1,260.78 / $1,260.78
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $4,287.00 / $13,486.75
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.28 / $1,570.89 / $7,231.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $3,245.00 / $7,608.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.41 / $1,172.70 / $2,569.50