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Massachusetts rates for HCPCS 99478

Subsequent Intensive Care Infant < 1500 Grams

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.02 / $136.02 / $136.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.05 / $136.02 / $373.80
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.82 / $640.97 / $640.97
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.21 / $231.77 / $1,352.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.01 / $215.02 / $381.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.16 / $152.16 / $152.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.50 / $203.10 / $364.74
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.90 / $154.90 / $154.90
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.93 / $138.03 / $238.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.56 / $316.95 / $409.27
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.23 / $212.23 / $212.23
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.82 / $640.97 / $640.97
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.52 / $215.31 / $1,352.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.19 / $198.11 / $352.64