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Arizona rates for HCPCS 49496

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.55 / $629.44 / $1,242.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.60 / $2,918.30 / $5,113.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.77 / $724.31 / $842.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.00 / $1,894.75 / $3,104.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.75 / $692.21 / $1,335.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.22 / $707.89 / $4,352.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.32 / $679.43 / $5,178.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $4,398.00 / $7,217.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.21 / $643.67 / $1,181.70