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Maine rates for HCPCS 49501

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.09 / $724.47 / $743.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.09 / $819.30 / $1,262.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.27 / $692.27 / $1,835.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.00 / $880.27 / $1,323.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.68 / $881.82 / $1,379.89
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.09 / $724.47 / $927.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.02 / $817.58 / $1,309.88