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Virginia 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 / $337.85 / $644.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.24 / $394.18 / $651.69
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.33 / $401.05 / $782.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.44 / $386.44 / $386.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.49 / $429.00 / $761.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.41 / $408.26 / $1,148.15
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.31 / $405.16 / $596.08
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.00 / $494.00 / $789.94
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.94 / $427.33 / $702.60
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.94 / $427.33 / $702.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.36 / $367.96 / $603.25