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Iowa rates for HCPCS 99479

Subsequent Intensive Care Infant 1500-2500 Grams

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.80 / $122.62 / $524.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.00 / $229.03 / $323.30
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.12 / $166.11 / $964.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.64 / $182.31 / $276.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.90 / $197.49 / $1,082.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.73 / $229.03 / $318.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.73 / $232.72 / $318.72
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.96 / $194.49 / $220.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.86 / $164.74 / $280.54
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.89 / $239.10 / $239.10