go back

Georgia rates for HCPCS 49492

Rpr 1st Ingun Hrna Preterm Inft Incarcerated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.61 / $5,063.00 / $7,391.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.39 / $1,061.96 / $1,940.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.00 / $2,700.00 / $6,065.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.99 / $1,463.24 / $2,452.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,695.59 / $1,994.81 / $2,740.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.25 / $899.25 / $899.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $617.00 / $1,094.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.02 / $1,475.99 / $2,290.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$956.24 / $1,243.10 / $2,276.28
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.89 / $1,507.79 / $1,945.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$651.00 / $4,666.00 / $8,554.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.06 / $1,248.14 / $2,311.90