go back

South Carolina 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
$726.43 / $7,799.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.01 / $726.43 / $971.22
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.86 / $1,025.86 / $1,025.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,447.53 / $7,184.75 / $12,557.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.11 / $736.62 / $1,265.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $810.00 / $2,221.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.92 / $767.00 / $1,426.29
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.85 / $741.03 / $1,234.93
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.00 / $754.00 / $1,897.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.74 / $545.90 / $924.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.00 / $12,269.00 / $19,591.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.07 / $675.09 / $1,292.38