go back

Montana 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
$492.09 / $593.88 / $3,135.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.36 / $868.36 / $868.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.84 / $964.84 / $964.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.10 / $964.84 / $1,624.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.39 / $801.65 / $1,082.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.07 / $980.27 / $1,633.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.61 / $997.76 / $1,272.52