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Wisconsin rates for HCPCS 99477

Initial Hosp Neonate 28 D/< Not Critically Ill

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.77 / $619.36 / $864.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.93 / $337.85 / $1,383.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.69 / $504.53 / $1,025.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$879.49 / $1,027.76 / $1,576.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.64 / $802.73 / $1,140.23
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.48 / $349.34 / $690.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.48 / $356.99 / $690.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.89 / $561.84 / $5,713.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.73 / $486.28 / $687.29
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.58 / $349.34 / $690.57
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.72 / $789.59 / $1,136.74
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.44 / $386.44 / $1,515.34
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.07 / $1,702.55 / $5,713.05
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.71 / $587.71 / $587.71
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.88 / $981.30 / $981.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.20 / $549.28 / $960.92