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Arkansas rates for HCPCS 99478

Subsequent Intensive Care Infant < 1500 Grams

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.17 / $133.50 / $187.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.44 / $457.44 / $457.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.03 / $176.51 / $176.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541.00 / $541.00 / $541.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.25 / $159.77 / $219.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.88 / $151.88 / $192.02