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Arizona rates for HCPCS 99479

Subsequent intensive care, per day, for the evaluation and management of the recovering low birth weight infant (present body weight of 1,500-2,500 grams)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.14 / $112.63 / $326.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.72 / $130.72 / $130.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.39 / $99.58 / $112.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.27 / $146.38 / $270.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.14 / $125.04 / $233.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.98 / $134.80 / $1,082.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.71 / $126.72 / $218.25