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Louisiana 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
$739.00 / $2,397.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.22 / $879.83 / $1,003.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,108.12 / $5,829.08 / $8,559.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.24 / $855.15 / $1,070.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $580.24 / $1,621.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.41 / $901.00 / $2,334.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.84 / $822.60 / $1,341.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,238.00 / $8,488.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.36 / $742.07 / $1,285.42