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Michigan rates for HCPCS 49491

Rpr 1st Ingun Hrna Preterm Inft Rdc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,033.58 / $1,033.59 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.15 / $861.08 / $1,081.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,319.05 / $3,940.96 / $5,412.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.41 / $1,207.09 / $1,901.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.44 / $971.54 / $1,907.58
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$802.32 / $1,033.59 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.47 / $882.26 / $1,283.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.50 / $702.23 / $1,058.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,500.00 / $7,780.00 / $8,911.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.42 / $1,032.90 / $1,305.15