go back

Louisiana rates for HCPCS 99479

Subsequent Intensive Care Infant 1500-2500 Grams

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.00 / $144.75 / $176.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.50 / $123.26 / $183.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.07 / $131.18 / $221.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.50 / $143.00 / $222.38
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.39 / $104.39 / $112.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.29 / $138.29 / $138.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.58 / $134.46 / $228.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.63 / $135.16 / $197.77