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Utah rates for HCPCS 99477

Initial Hosp Neonate 28 D/< Not Critically Ill

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.94 / $358.94 / $358.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.70 / $358.94 / $893.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.74 / $473.45 / $807.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.10 / $312.88 / $381.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.99 / $723.38 / $1,112.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.08 / $394.79 / $572.45