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West Virginia rates for HCPCS 49492

Rpr 1st Ingun Hrna Preterm Inft Incarcerated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$984.81 / $1,400.00 / $2,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.45 / $984.81 / $1,352.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,022.63 / $1,164.36 / $1,268.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.71 / $1,127.65 / $1,127.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,094.99 / $1,094.99 / $1,094.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.66 / $1,288.06 / $2,709.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.19 / $1,091.41 / $1,617.64