go back

Maine rates for HCPCS 99477

Initial Hosp Neonate 28 D/< Not Critically Ill

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.14 / $310.52 / $516.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.79 / $442.71 / $637.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.44 / $386.44 / $386.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.81 / $439.33 / $740.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.80 / $477.39 / $744.76
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.14 / $339.71 / $544.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.75 / $504.80 / $732.68