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Pennsylvania 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
$882.00 / $4,534.00 / $8,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.29 / $408.23 / $683.91
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,150.00 / $7,567.00 / $11,091.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.08 / $581.08 / $797.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.00 / $2,390.62 / $4,747.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.43 / $491.26 / $833.46
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$929.82 / $929.82 / $929.82
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.25 / $644.24 / $829.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,294.07 / $8,777.34 / $43,244.67
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $4,761.00 / $8,404.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.58 / $450.43 / $2,010.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.20 / $458.20 / $458.20
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.60 / $590.67 / $844.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.44 / $2,109.00 / $4,517.67
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.01 / $489.32 / $833.46
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.54 / $401.54 / $470.13
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.14 / $406.60 / $470.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,265.00 / $3,331.00 / $6,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.80 / $475.60 / $830.92