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Minnesota 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
$559.35 / $559.35 / $6,575.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.82 / $602.72 / $1,009.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,217.22 / $5,898.73 / $12,294.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,064.66 / $1,801.94 / $2,185.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,309.43 / $2,043.68 / $4,916.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.01 / $1,863.66 / $2,562.30
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,134.74 / $1,864.99 / $3,871.14
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.01 / $1,700.28 / $2,342.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.15 / $1,032.89 / $1,887.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.45 / $1,400.48 / $5,178.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $5,499.00 / $9,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.45 / $1,342.18 / $2,418.73