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Maine rates for HCPCS 49496

Rpr 1st Ingun Hrna Full Term Inft <6 Mo Incarcer

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.83 / $735.08 / $761.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.93 / $830.51 / $1,280.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.41 / $702.41 / $863.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.02 / $893.60 / $1,341.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.68 / $894.70 / $1,400.04
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.83 / $735.08 / $1,457.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.36 / $856.81 / $1,329.05