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South Carolina rates for HCPCS 99477

Initial Hosp Neonate 28 D/< Not Critically Ill

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.95 / $336.83 / $622.16
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.34 / $477.45 / $561.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $220.96 / $355.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $386.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.69 / $381.54 / $661.46
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.89 / $384.36 / $576.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.36 / $384.36 / $824.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.78 / $379.54 / $592.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.98 / $345.51 / $556.30