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Washington, DC rates for HCPCS 99478

Subsequent Intensive Care Infant < 1500 Grams

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.00 / $125.35 / $303.33
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.76 / $158.76 / $417.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.47 / $177.89 / $431.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.00 / $293.16 / $346.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.32 / $150.27 / $409.08