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New Hampshire rates for HCPCS 99477

Initial Hosp Neonate 28 D/< Not Critically Ill

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.71 / $1,050.71 / $1,050.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.48 / $346.65 / $799.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.68 / $373.68 / $373.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.79 / $408.32 / $670.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.46 / $567.30 / $879.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.67 / $583.14 / $1,144.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.06 / $522.77 / $1,045.63
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.81 / $320.17 / $470.65