go back

Hawaii 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 / $123.89 / $461.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.14 / $146.53 / $327.50
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.69 / $176.04 / $202.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.25 / $140.66 / $164.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.50 / $143.40 / $194.99
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.11 / $146.34 / $148.91