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Wyoming rates for HCPCS 99477

Initial Hosp Neonate 28 D/< Not Critically Ill

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.73 / $344.62 / $507.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.00 / $601.00 / $601.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.51 / $532.82 / $751.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.53 / $621.79 / $1,037.30