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Idaho rates for HCPCS 99478

Subsequent Intensive Care Infant < 1500 Grams

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.45 / $147.74 / $354.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.81 / $205.46 / $276.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.28 / $182.85 / $239.02
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.22 / $228.24 / $253.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $235.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.03 / $196.51 / $244.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.56 / $190.12 / $244.33