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Maryland rates for HCPCS 49491

Rpr 1st Ingun Hrna Preterm Inft Rdc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,097.37 / $9,097.37 / $9,097.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.15 / $914.93 / $1,892.65
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.09 / $810.02 / $1,134.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.00 / $629.00 / $2,530.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.63 / $951.91 / $1,779.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.70 / $972.31 / $1,361.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,028.00 / $1,347.00 / $3,219.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.99 / $874.66 / $1,538.61
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.96 / $972.31 / $1,185.86