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Maine rates for HCPCS 49491

Rpr 1st Ingun Hrna Preterm Inft Rdc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.15 / $952.47 / $973.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.90 / $1,075.59 / $1,654.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $910.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.54 / $1,157.09 / $1,737.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.61 / $1,156.04 / $1,809.01
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.15 / $952.47 / $1,209.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.12 / $1,121.72 / $1,568.13