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Missouri 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
$1,547.00 / $5,389.00 / $12,174.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.41 / $647.26 / $917.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,232.00 / $4,286.00 / $9,640.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.57 / $732.16 / $1,093.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,710.00 / $9,647.00 / $11,562.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.02 / $796.75 / $1,354.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.41 / $931.41 / $4,553.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.42 / $1,095.52 / $5,178.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.00 / $3,700.00 / $6,854.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.75 / $831.27 / $1,453.35