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New Hampshire rates for HCPCS 49491

Rpr 1st Ingun Hrna Preterm Inft Rdc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,662.97 / $3,313.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.15 / $790.68 / $1,033.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,512.20 / $9,458.00 / $17,300.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.08 / $1,406.48 / $2,250.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.16 / $1,483.80 / $2,409.53
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.61 / $1,552.69 / $2,770.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$854.00 / $4,487.00 / $9,949.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.75 / $1,239.83 / $2,323.25
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.85 / $690.64 / $878.99