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Alaska rates for HCPCS 99479

Subsequent Intensive Care Infant 1500-2500 Grams

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.36 / $123.89 / $238.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.34 / $224.16 / $434.63
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.96 / $238.78 / $504.17
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.88 / $345.45 / $623.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.60 / $356.00 / $456.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.48 / $238.78 / $504.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.26 / $320.32 / $482.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.27 / $347.70 / $521.54