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Texas rates for HCPCS 49492

Rpr 1st Ingun Hrna Preterm Inft Incarcerated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.00 / $3,611.00 / $12,480.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.59 / $997.69 / $1,510.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,767.31 / $4,881.66 / $9,576.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.73 / $1,041.04 / $1,560.55
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.26 / $888.26 / $919.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,024.00 / $4,619.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.21 / $1,249.90 / $1,937.17
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $8,223.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,251.24 / $7,251.24 / $8,316.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$914.55 / $1,111.64 / $1,951.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.09 / $1,439.67 / $1,750.19
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.84 / $1,200.90 / $2,014.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$915.26 / $1,120.22 / $2,173.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.66 / $1,325.62 / $2,401.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,200.00 / $10,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$770.41 / $1,046.28 / $1,641.37
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.08 / $933.39 / $1,259.63