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South Carolina rates for HCPCS 49492

Rpr 1st Ingun Hrna Preterm Inft Incarcerated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,131.86 / $8,716.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.29 / $1,131.86 / $1,514.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,296.60 / $7,184.75 / $12,557.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.35 / $925.96 / $1,228.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $560.00 / $615.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$929.12 / $1,228.36 / $2,395.61
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$958.82 / $1,124.41 / $1,924.18
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.59 / $1,092.00 / $2,492.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $775.34 / $1,393.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.00 / $12,269.00 / $19,591.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.30 / $1,085.44 / $2,100.61