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Arizona rates for HCPCS 49492

Rpr 1st Ingun Hrna Preterm Inft Incarcerated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,521.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.27 / $975.84 / $1,495.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.60 / $2,918.30 / $5,113.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.02 / $1,122.31 / $1,304.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.44 / $1,083.41 / $2,085.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$887.13 / $1,095.85 / $4,545.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.86 / $1,061.33 / $7,251.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $4,398.00 / $7,217.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.72 / $977.55 / $1,838.41