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North Dakota rates for HCPCS 99478

Subsequent Intensive Care Infant < 1500 Grams

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.68 / $136.68 / $136.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.82 / $134.66 / $375.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.75 / $303.24 / $333.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.83 / $269.75 / $376.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.18 / $158.50 / $293.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.03 / $250.74 / $1,352.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.03 / $223.81 / $340.33