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Arizona rates for HCPCS 99478

Subsequent Intensive Care Infant < 1500 Grams

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.69 / $122.43 / $329.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.91 / $143.91 / $1,122.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.82 / $109.63 / $123.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.00 / $161.86 / $296.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.50 / $137.66 / $257.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.03 / $149.37 / $1,352.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.65 / $142.44 / $244.07