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Washington 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
$1,110.08 / $5,116.62 / $21,917.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.67 / $830.11 / $1,577.21
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,193.67 / $9,558.29 / $26,542.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.08 / $1,446.19 / $5,399.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,877.15 / $2,285.42 / $3,991.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.40 / $1,084.03 / $1,832.07
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.25 / $1,262.32 / $3,651.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.91 / $1,219.70 / $2,689.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.67 / $697.22 / $1,394.61
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.36 / $1,173.17 / $1,229.45
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$823.55 / $1,460.91 / $2,583.64
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.64 / $1,387.12 / $1,674.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,069.92 / $9,804.29 / $18,754.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$972.63 / $1,206.33 / $1,583.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $2,759.00 / $11,941.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.26 / $995.29 / $1,760.10
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.45 / $647.70 / $647.70