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Connecticut rates for HCPCS 99479

Subsequent Intensive Care Infant 1500-2500 Grams

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.38 / $149.38 / $149.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.70 / $123.38 / $432.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.88 / $150.40 / $234.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.67 / $162.34 / $301.12
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.50 / $186.62 / $315.58
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.12 / $192.89 / $363.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.34 / $172.15 / $248.78