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Virginia rates for HCPCS 49507

Rpr 1st Ingun Hrna Age 5 Yrs/> Incarcerated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.72 / $5,425.39 / $11,024.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.00 / $1,540.24 / $1,896.02
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$66.25 / $66.25 / $66.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.09 / $680.76 / $1,031.33
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.80 / $782.07 / $1,143.02
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,133.06 / $1,230.00 / $1,743.80
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$151.07 / $164.00 / $232.51
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$104.15 / $114.80 / $162.75
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.35 / $746.37 / $1,378.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,236.00 / $8,246.00 / $17,187.00