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Hawaii rates for HCPCS 49495

Rpr 1st Ingun Hrna Full Term Inft <6 Mo Rdc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,635.55 / $2,747.00 / $5,484.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.36 / $398.84 / $628.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,537.42 / $1,537.42 / $1,537.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.00 / $504.88 / $1,008.67
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.01 / $601.10 / $723.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.29 / $484.68 / $565.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $2,155.00 / $2,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.59 / $515.13 / $679.97
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.96 / $3,900.00 / $8,000.00