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New Hampshire 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
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $478.63 / $1,122.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $426.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $549.54 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $575.44 / $912.01
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $537.03 / $870.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $575.44 / $912.01
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $389.05 / $478.63