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Wisconsin rates for HCPCS 49507

Rpr 1st Ingun Hrna Age 5 Yrs/> Incarcerated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.71 / $8,243.00 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,169.00 / $8,139.00 / $10,914.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,471.53 / $1,719.60 / $2,637.91
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$66.25 / $66.25 / $66.25
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.92 / $773.26 / $1,496.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.92 / $877.22 / $9,558.29
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$905.99 / $905.99 / $905.99
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.92 / $773.26 / $1,543.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.40 / $1,431.56 / $2,365.53
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$670.45 / $9,558.29 / $9,558.29
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$66.25 / $905.99 / $905.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,241.00 / $9,953.00 / $12,062.00