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Iowa 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
$4,227.00 / $5,463.36 / $7,120.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.34 / $842.19 / $3,183.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.00 / $1,285.00 / $1,285.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.17 / $1,344.73 / $1,680.91
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.44 / $900.67 / $2,622.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$819.38 / $1,339.84 / $7,915.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.67 / $1,318.61 / $5,178.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$938.00 / $1,519.05 / $3,162.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.58 / $1,321.30 / $1,797.27
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.49 / $1,153.45 / $3,472.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,770.00 / $6,588.00 / $10,320.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.66 / $923.15 / $1,878.21
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.08 / $1,203.90 / $1,416.40