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Washington, DC rates for HCPCS 99477

Initial Hosp Neonate 28 D/< Not Critically Ill

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.25 / $318.39 / $770.52
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.33 / $401.05 / $501.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.72 / $409.56 / $809.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.01 / $744.27 / $878.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.83 / $401.45 / $1,038.59