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Alaska rates for HCPCS 49501

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,236.00 / $9,774.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.26 / $659.43 / $3,182.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.82 / $911.92 / $2,006.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.36 / $3,182.37 / $4,455.32
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,495.23 / $2,206.77 / $4,067.31
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,551.44 / $2,820.80 / $4,552.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.36 / $3,182.37 / $4,455.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.25 / $2,187.60 / $3,889.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,392.33 / $1,605.54 / $4,428.63