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Maine rates for HCPCS 49492

Rpr 1st Ingun Hrna Preterm Inft Incarcerated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.29 / $1,145.65 / $1,179.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.80 / $1,297.34 / $1,985.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $1,094.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.00 / $1,388.72 / $2,091.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.20 / $1,387.35 / $2,170.96
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.29 / $1,145.65 / $1,441.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.24 / $1,334.35 / $2,071.40