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Minnesota rates for HCPCS 99477

Initial Hosp Neonate 28 D/< Not Critically Ill

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.52 / $310.52 / $310.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.11 / $346.65 / $1,211.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.79 / $599.79 / $1,920.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.33 / $859.19 / $1,044.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.93 / $1,165.77 / $2,804.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.69 / $914.90 / $1,324.50
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.93 / $959.41 / $2,208.19
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.57 / $887.19 / $1,136.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.52 / $524.79 / $925.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.10 / $699.90 / $1,951.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.93 / $674.13 / $1,098.77