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Pennsylvania rates for HCPCS 49500

Rpr 1st Ingun Hrna Age 6 Mo-5 Yrs Reducible

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.00 / $4,597.00 / $10,011.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.25 / $414.30 / $885.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.82 / $451.82 / $451.82
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,150.00 / $7,567.00 / $11,091.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.82 / $434.62 / $709.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.00 / $2,656.00 / $8,751.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.16 / $493.76 / $849.49
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$948.11 / $948.11 / $948.11
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.63 / $659.98 / $845.82
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,294.07 / $27,968.50 / $53,306.02
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$976.00 / $5,005.00 / $11,216.09
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.25 / $464.12 / $1,856.09
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.10 / $390.10 / $390.10
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.10 / $538.79 / $853.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$473.66 / $2,109.00 / $8,327.79
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.70 / $493.76 / $849.49
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.06 / $408.06 / $417.26
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.36 / $412.23 / $432.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,265.00 / $3,331.00 / $6,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.71 / $465.65 / $829.05