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Indiana rates for HCPCS 49492

Rpr 1st Ingun Hrna Preterm Inft Incarcerated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$920.75 / $1,438.33 / $16,042.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.13 / $963.40 / $1,297.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,058.00 / $7,572.00 / $18,942.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.84 / $1,024.80 / $1,414.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$868.10 / $1,191.51 / $1,914.93
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.10 / $1,063.84 / $1,531.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.00 / $761.00 / $1,094.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.64 / $1,072.97 / $1,797.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,029.00 / $7,830.00 / $11,284.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.72 / $1,021.30 / $1,795.58