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Utah rates for HCPCS 49507

Rpr 1st Ingun Hrna Age 5 Yrs/> Incarcerated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$834.53 / $5,743.00 / $11,660.28
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,263.30 / $6,648.17 / $9,559.39
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,894.95 / $9,972.26 / $14,339.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00