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Washington rates for HCPCS 99478

Subsequent Intensive Care Infant < 1500 Grams

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.74 / $232.50 / $370.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.48 / $136.02 / $354.47
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.65 / $124.65 / $124.65
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.96 / $593.41 / $593.41
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.37 / $283.42 / $1,352.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.79 / $236.64 / $394.92
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.93 / $229.50 / $330.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.93 / $224.40 / $335.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.26 / $211.01 / $384.20
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.96 / $257.41 / $265.99
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.27 / $294.83 / $358.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.37 / $252.29 / $337.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.68 / $204.95 / $383.45
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.22 / $136.81 / $136.81