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Maine rates for HCPCS 99469

Subsequent inpatient neonatal critical care, per day, for the evaluation and management of a critically ill neonate, 28 days of age or younger

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $426.58 / $1,148.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $537.03 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $489.78 / $891.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $660.69 / $933.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $602.56 / $1,698.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $537.03 / $758.58