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Washington, DC rates for HCPCS 99479

Subsequent Intensive Care Infant 1500-2500 Grams

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.31 / $114.25 / $276.48
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.10 / $157.30 / $381.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.23 / $161.54 / $397.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.22 / $266.45 / $314.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.15 / $95.15 / $95.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.64 / $127.53 / $371.81