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Washington rates for HCPCS 49492

Rpr 1st Ingun Hrna Preterm Inft Incarcerated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,304.99 / $5,128.00 / $22,024.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.27 / $1,249.32 / $2,521.21
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $8,223.00 / $13,248.98
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,360.87 / $2,275.85 / $8,518.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $714.97 / $947.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.91 / $1,705.09 / $2,881.70
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,056.36 / $1,986.70 / $3,304.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.53 / $1,885.77 / $2,643.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.21 / $366.35 / $2,152.54
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,367.34 / $1,846.13 / $1,938.31
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.92 / $1,301.92 / $1,322.10
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,379.52 / $2,187.59 / $2,640.40
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,069.92 / $9,804.29 / $18,754.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,537.59 / $1,901.86 / $2,503.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $2,759.00 / $11,941.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.53 / $1,581.25 / $2,775.82
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.08 / $1,013.09 / $1,013.09