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Utah 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
$787.83 / $4,312.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.75 / $787.83 / $1,744.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.33 / $839.60 / $1,249.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.28 / $431.66 / $576.82
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,263.30 / $6,648.17 / $9,559.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.50 / $976.42 / $1,296.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.28 / $735.42 / $1,269.35