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Utah rates for HCPCS 49492

Rpr 1st Ingun Hrna Preterm Inft Incarcerated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,253.09 / $4,312.00 / $9,078.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.13 / $1,253.09 / $2,758.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.35 / $1,314.95 / $1,980.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.16 / $647.01 / $917.86
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,263.30 / $6,648.17 / $9,559.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.89 / $1,503.84 / $2,035.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.89 / $1,108.01 / $1,843.37