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Missouri rates for HCPCS 99478

Subsequent Intensive Care Infant < 1500 Grams

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.14 / $222.14 / $222.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.66 / $122.43 / $386.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.57 / $124.57 / $146.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.83 / $156.82 / $239.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.83 / $179.73 / $295.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.34 / $162.36 / $255.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.03 / $167.04 / $1,352.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.44 / $150.94 / $221.35