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Rhode Island rates for HCPCS 49491

Rpr 1st Ingun Hrna Preterm Inft Rdc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,993.72 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.16 / $790.55 / $1,167.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.99 / $1,065.74 / $1,496.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.00 / $680.00 / $680.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.68 / $1,279.50 / $1,873.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,838.00 / $4,086.00 / $9,622.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.21 / $1,032.58 / $1,701.66