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Hawaii rates for HCPCS 99477

Initial Hosp Neonate 28 D/< Not Critically Ill

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.48 / $346.65 / $1,304.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.88 / $411.23 / $912.11
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.55 / $428.68 / $492.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.72 / $394.78 / $460.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.74 / $400.64 / $546.50
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.64 / $407.24 / $414.39