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New York rates for HCPCS 49492

Rpr 1st Ingun Hrna Preterm Inft Incarcerated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.19 / $4,905.00 / $10,965.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.52 / $1,131.86 / $1,946.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,248.00 / $4,838.00 / $11,446.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.10 / $967.51 / $2,182.66
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,353.37 / $1,353.37 / $10,957.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,353.37 / $1,353.37 / $1,353.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,094.99 / $1,094.99 / $7,227.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.36 / $1,430.09 / $3,563.97
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $993.30 / $2,591.84
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.74 / $1,330.66 / $1,992.84
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.91 / $890.91 / $890.91
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.40 / $1,139.27 / $1,768.14
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $1,094.99 / $7,227.90
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.59 / $1,398.19 / $3,309.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,694.00 / $4,893.00 / $11,176.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.38 / $1,143.45 / $2,656.95
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.27 / $1,139.27 / $3,402.05
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.40 / $1,277.73 / $2,421.98