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Iowa rates for HCPCS 49492

Rpr 1st Ingun Hrna Preterm Inft Incarcerated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,693.00 / $5,817.59 / $7,943.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.53 / $1,441.53 / $4,950.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.84 / $2,071.63 / $2,589.53
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.18 / $1,405.01 / $3,000.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.78 / $2,054.91 / $8,223.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.76 / $2,057.37 / $7,251.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,422.17 / $2,117.16 / $2,813.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,353.00 / $2,117.16 / $2,801.48
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.54 / $1,716.35 / $3,453.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,770.00 / $6,588.00 / $10,320.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.73 / $1,441.06 / $2,931.92
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,474.85 / $1,866.90 / $2,196.30