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Louisiana rates for HCPCS 49492

Rpr 1st Ingun Hrna Preterm Inft Incarcerated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.00 / $2,447.00 / $4,392.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.39 / $1,379.90 / $1,576.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,878.32 / $5,732.69 / $8,461.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.23 / $1,395.39 / $1,660.53
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $888.26 / $888.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.00 / $675.00 / $1,100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.79 / $1,292.50 / $2,095.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,238.00 / $8,488.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.23 / $1,158.04 / $2,008.02