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Delaware rates for HCPCS 49492

Rpr 1st Ingun Hrna Preterm Inft Incarcerated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,316.00 / $6,316.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.92 / $964.73 / $1,304.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,151.00 / $2,151.00 / $2,151.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.81 / $1,016.41 / $1,623.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,248.00 / $2,200.00 / $2,200.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.84 / $970.02 / $2,195.30