go back

Oklahoma rates for HCPCS 99478

Subsequent Intensive Care Infant < 1500 Grams

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.07 / $109.07 / $109.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.75 / $112.53 / $148.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.25 / $142.35 / $180.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.67 / $175.84 / $217.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.75 / $134.77 / $254.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.03 / $157.12 / $1,352.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.22 / $140.03 / $196.04