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Massachusetts rates for HCPCS 99477

Initial hospital care, per day, for the evaluation and management of the neonate, 28 days of age or younger, who requires intensive observation, frequent interventions, and other intensive care services

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.65 / $346.65 / $346.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.93 / $346.65 / $1,304.51
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.95 / $1,634.95 / $4,869.80
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.29 / $588.59 / $5,713.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.35 / $625.34 / $847.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.44 / $386.44 / $386.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.23 / $511.15 / $921.73
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.26 / $395.26 / $395.26
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.22 / $352.27 / $603.61
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.01 / $809.36 / $1,045.11
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.57 / $701.68 / $2,371.50
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.95 / $1,634.95 / $4,869.80
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.11 / $535.33 / $5,713.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.75 / $477.98 / $1,063.69