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California 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
$2,197.85 / $8,050.00 / $20,509.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.97 / $618.41 / $3,183.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $8,441.00 / $18,150.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.07 / $772.62 / $1,537.13
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.90 / $100.00 / $9,665.25
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.19 / $613.96 / $1,453.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.00 / $2,128.87 / $5,927.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.01 / $755.77 / $1,652.55
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.29 / $684.92 / $924.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.34 / $750.24 / $1,372.01
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,474.48 / $9,558.29 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,178.08 / $5,178.08 / $5,359.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $904.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.98 / $777.37 / $1,195.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.95 / $792.81 / $1,652.55
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,974.99 / $1,974.99 / $1,974.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,922.60 / $9,539.00 / $21,278.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.96 / $657.55 / $1,476.12