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Idaho rates for HCPCS 99479

Subsequent Intensive Care Infant 1500-2500 Grams

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.04 / $171.84 / $342.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.78 / $186.86 / $251.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.80 / $165.41 / $211.82
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.00 / $207.27 / $230.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $213.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.81 / $178.60 / $222.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.38 / $168.97 / $222.05