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Utah 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 / $3,977.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.15 / $1,033.58 / $2,295.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.84 / $1,105.16 / $1,640.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.28 / $593.82 / $798.57
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,370.62 / $10,940.20 / $15,943.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,048.72 / $1,303.77 / $1,704.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.63 / $951.20 / $1,531.20