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California rates for HCPCS 99478

Subsequent Intensive Care Infant < 1500 Grams

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.43 / $122.43 / $133.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.87 / $134.66 / $375.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.53 / $175.53 / $198.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.90 / $182.10 / $311.33
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.66 / $152.19 / $356.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.16 / $152.16 / $152.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.78 / $178.06 / $385.33
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.51 / $144.81 / $195.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.51 / $162.99 / $386.64
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.82 / $593.41 / $640.97
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,352.50 / $1,352.50 / $1,352.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $191.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.25 / $159.49 / $231.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.63 / $200.41 / $359.37
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.68 / $356.68 / $356.68
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.00 / $160.88 / $160.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.92 / $146.22 / $315.99