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New Hampshire 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
$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