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Louisiana rates for HCPCS 99477

Initial Hosp Neonate 28 D/< Not Critically Ill

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.38 / $401.12 / $492.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.77 / $345.72 / $523.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.10 / $369.10 / $621.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.40 / $1,270.40 / $1,416.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.43 / $368.83 / $622.17
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.92 / $292.92 / $315.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.44 / $386.44 / $386.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.20 / $371.35 / $640.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.95 / $368.31 / $554.72