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Arkansas rates for HCPCS 49492

Rpr 1st Ingun Hrna Preterm Inft Incarcerated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,111.83 / $1,688.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.52 / $1,131.86 / $1,462.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,602.26 / $3,602.26 / $4,106.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.46 / $1,325.46 / $1,472.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.00 / $541.00 / $3,225.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.84 / $1,382.72 / $1,797.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $2,075.00 / $5,626.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.74 / $1,148.89 / $1,913.92