go back

Minnesota rates for HCPCS 99478

Subsequent Intensive Care Infant < 1500 Grams

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.03 / $122.03 / $122.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.29 / $133.37 / $354.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.40 / $236.21 / $754.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.78 / $338.36 / $411.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.64 / $459.86 / $1,106.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.10 / $358.25 / $518.64
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.64 / $378.46 / $871.06
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.11 / $347.40 / $444.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.03 / $206.23 / $363.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.83 / $273.98 / $1,352.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.16 / $264.67 / $432.00