go back

Wisconsin 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
$645.94 / $2,153.33 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.24 / $645.94 / $1,744.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,169.00 / $8,139.00 / $10,914.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.89 / $1,325.01 / $3,403.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,516.59 / $1,772.25 / $2,718.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.33 / $2,006.04 / $2,410.30
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.11 / $755.75 / $1,257.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.11 / $861.73 / $9,558.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.40 / $1,364.58 / $4,724.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.50 / $529.22 / $1,259.86
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.94 / $755.75 / $1,257.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,109.40 / $1,479.57 / $2,438.38
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.27 / $9,558.29 / $9,558.29
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.39 / $2,847.25 / $4,724.88
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,145.81 / $2,145.81 / $2,145.81
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,989.54 / $2,942.94 / $2,942.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,241.00 / $9,953.00 / $12,062.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.09 / $1,138.90 / $2,569.64