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Montana 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
$303.35 / $381.61 / $1,037.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68,099.99 / $68,099.99 / $81,499.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.84 / $602.04 / $602.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.04 / $602.04 / $602.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.71 / $541.84 / $853.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.42 / $442.43 / $725.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.37 / $652.41 / $1,031.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.75 / $645.12 / $731.25