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Idaho 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
$102.33 / $165.96 / $338.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $229.09 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $169.82 / $263.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $151.36 / $234.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $186.21 / $316.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $190.55 / $323.59
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $125.89 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $169.82 / $229.09