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Connecticut rates for HCPCS 49492

Rpr 1st Ingun Hrna Preterm Inft Incarcerated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,090.00 / $8,031.00 / $13,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.52 / $1,304.99 / $2,435.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$880.09 / $6,543.00 / $11,830.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.33 / $2,027.46 / $2,516.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$998.00 / $998.00 / $998.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.56 / $1,459.74 / $2,870.03
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.04 / $2,468.46 / $2,597.87
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,201.08 / $1,495.17 / $1,992.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,048.00 / $7,771.00 / $11,371.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.52 / $1,501.56 / $3,985.26