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Wisconsin rates for HCPCS 49505

Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,044.47 / $10,489.72 / $14,461.97
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,058.88 / $7,038.24 / $11,342.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.97 / $624.44 / $3,893.00
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
$490.98 / $1,144.27 / $2,937.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.48 / $625.60 / $765.45
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.71 / $632.02 / $1,183.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,312.03 / $1,533.21 / $2,473.02
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$58.98 / $58.98 / $58.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.51 / $1,739.70 / $2,082.67
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.88 / $676.01 / $1,165.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.26 / $835.58 / $9,558.29
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$905.99 / $905.99 / $905.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.58 / $1,184.76 / $4,067.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.50 / $465.59 / $1,112.39
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.88 / $669.52 / $1,165.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$956.40 / $1,275.52 / $2,106.94
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.21 / $9,558.29 / $9,558.29
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$58.98 / $905.99 / $905.99
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.73 / $2,457.19 / $4,067.23
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,538.78 / $2,543.00 / $2,543.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,073.00 / $9,953.00 / $12,062.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.49 / $1,053.22 / $2,217.62