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Montana rates for HCPCS 49491

Rpr 1st Ingun Hrna Preterm Inft Rdc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.15 / $739.30 / $4,119.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $77,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.09 / $1,077.09 / $1,140.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,267.18 / $1,267.18 / $1,267.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.50 / $1,255.96 / $2,239.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$780.25 / $999.40 / $1,418.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.24 / $1,289.77 / $2,149.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,090.40 / $1,313.70 / $1,995.20