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Utah 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
$807.34 / $4,312.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.41 / $807.34 / $1,770.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.87 / $840.39 / $1,266.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.47 / $434.19 / $585.37
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,263.30 / $6,648.17 / $9,559.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.68 / $955.31 / $1,313.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.60 / $686.43 / $1,180.08