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Louisiana rates for HCPCS 99478

Subsequent Intensive Care Infant < 1500 Grams

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.40 / $158.63 / $194.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.32 / $135.88 / $202.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.19 / $144.47 / $243.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.93 / $167.82 / $248.40
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.98 / $114.98 / $123.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.16 / $152.16 / $152.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.67 / $147.88 / $251.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.02 / $147.03 / $219.49