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Illinois rates for HCPCS 99479

Subsequent Intensive Care Infant 1500-2500 Grams

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.50 / $183.80 / $194.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.70 / $123.38 / $326.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.74 / $139.91 / $414.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.05 / $469.34 / $469.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.24 / $158.04 / $181.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.29 / $138.29 / $138.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.00 / $164.24 / $239.55
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.74 / $183.30 / $711.55
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.57 / $148.93 / $158.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $165.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.12 / $152.38 / $226.19