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Illinois 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
$1,017.00 / $2,800.00 / $6,180.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.28 / $662.32 / $1,169.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,695.18 / $6,325.06 / $12,822.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.73 / $905.59 / $1,119.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.00 / $965.00 / $10,962.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.14 / $900.67 / $1,323.70
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.22 / $1,048.03 / $3,554.90
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.06 / $801.44 / $900.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,018.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.00 / $4,530.00 / $8,168.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.36 / $818.23 / $1,455.17