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Kansas rates for HCPCS 99479

Subsequent Intensive Care Infant 1500-2500 Grams

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.47 / $140.37 / $140.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.94 / $110.52 / $182.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.04 / $110.04 / $143.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.55 / $217.12 / $741.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.00 / $168.00 / $245.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.41 / $130.97 / $272.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.09 / $159.59 / $1,082.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.20 / $267.20 / $267.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.32 / $145.72 / $204.88