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Rhode Island rates for HCPCS 49492

Rpr 1st Ingun Hrna Preterm Inft Incarcerated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,438.26 / $3,706.14 / $4,026.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.27 / $887.13 / $1,427.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.27 / $1,277.88 / $1,615.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.00 / $680.00 / $680.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.31 / $1,530.98 / $2,246.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,838.00 / $4,086.00 / $9,622.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.31 / $1,191.53 / $2,120.78