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Alaska rates for HCPCS 49492

Rpr 1st Ingun Hrna Preterm Inft Incarcerated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,759.55 / $9,813.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.71 / $1,044.61 / $5,044.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$929.94 / $1,438.50 / $3,194.49
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$959.60 / $5,044.97 / $7,062.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,352.40 / $3,492.90 / $6,446.83
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,525.25 / $4,426.95 / $7,177.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$959.60 / $5,044.97 / $7,062.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,143.91 / $3,450.00 / $6,181.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,277.47 / $2,555.60 / $7,049.21