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Arizona 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
$1,965.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.33 / $638.61 / $1,225.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.21 / $565.21 / $565.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,660.00 / $6,198.03 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.53 / $713.74 / $829.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,339.00 / $1,894.75 / $3,104.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.18 / $685.46 / $1,317.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.27 / $699.30 / $4,352.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.76 / $669.94 / $4,724.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $4,398.00 / $7,217.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.09 / $634.67 / $1,196.79