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Connecticut rates for HCPCS 99478

Subsequent Intensive Care Infant < 1500 Grams

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.13 / $168.13 / $168.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.69 / $135.63 / $375.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.62 / $165.50 / $255.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.43 / $185.19 / $327.58
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.19 / $213.33 / $627.64
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.23 / $212.23 / $212.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.03 / $185.41 / $273.02