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Pennsylvania rates for HCPCS 49491

Rpr 1st Ingun Hrna Preterm Inft Rdc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$926.00 / $4,534.00 / $8,240.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.15 / $798.14 / $1,188.03
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,150.00 / $7,567.00 / $11,091.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.59 / $831.84 / $1,469.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $2,151.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.28 / $962.31 / $1,648.17
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,805.24 / $1,805.24 / $1,805.24
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$969.89 / $1,248.11 / $1,611.09
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,327.00 / $18,718.25 / $26,151.44
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $4,761.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.00 / $856.28 / $2,843.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$740.00 / $740.00 / $740.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.00 / $998.40 / $1,697.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $2,151.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.28 / $957.79 / $1,648.17
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.87 / $783.10 / $783.10
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.87 / $783.10 / $826.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,265.00 / $3,331.00 / $6,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.82 / $900.84 / $1,546.74