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Minnesota rates for HCPCS 49492

Rpr 1st Ingun Hrna Preterm Inft Incarcerated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$865.19 / $865.19 / $6,781.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.27 / $945.29 / $1,569.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,172.92 / $7,053.26 / $13,571.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,650.91 / $2,798.17 / $3,393.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,019.63 / $3,152.11 / $7,582.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,606.42 / $2,871.07 / $3,947.37
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,750.18 / $2,876.51 / $5,970.74
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,591.41 / $2,619.38 / $3,609.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$923.78 / $1,583.50 / $2,926.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,089.50 / $2,141.91 / $7,251.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $5,499.00 / $9,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.04 / $1,877.24 / $3,716.76