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Oklahoma rates for HCPCS 49492

Rpr 1st Ingun Hrna Preterm Inft Incarcerated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.00 / $4,728.00 / $14,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.52 / $1,037.58 / $1,249.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,180.05 / $9,747.75 / $15,458.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.72 / $1,227.88 / $1,485.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$926.04 / $1,296.45 / $6,240.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.78 / $1,158.01 / $7,251.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.00 / $4,054.00 / $7,077.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.19 / $1,038.22 / $1,603.90