go back

Illinois rates for HCPCS 49507

Rpr 1st Ingun Hrna Age 5 Yrs/> Incarcerated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$999.19 / $3,721.35 / $16,468.09
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,002.00 / $10,513.36 / $10,513.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,573.53 / $6,039.57 / $12,243.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.00 / $1,923.00 / $10,962.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$66.25 / $66.25 / $66.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.91 / $1,008.27 / $2,752.36
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.00 / $4,530.00 / $8,168.00