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Massachusetts 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
$545.82 / $2,747.00 / $5,011.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.55 / $616.83 / $963.02
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.63 / $3,474.48 / $26,542.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.83 / $1,184.93 / $5,178.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.84 / $2,140.21 / $2,140.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$837.00 / $920.70 / $3,751.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.89 / $1,004.35 / $2,142.09
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.00 / $1,311.42 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.91 / $885.21 / $1,299.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.41 / $1,516.84 / $1,913.80
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $5,572.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.39 / $1,211.81 / $5,178.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $3,245.00 / $7,608.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.28 / $872.99 / $1,983.82