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Massachusetts rates for HCPCS 99479

Subsequent Intensive Care Infant 1500-2500 Grams

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.58 / $119.58 / $119.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.81 / $125.34 / $377.37
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.35 / $582.29 / $582.29
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.74 / $212.37 / $1,082.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.86 / $222.57 / $346.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.29 / $138.29 / $138.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.00 / $184.26 / $343.03
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.69 / $140.69 / $140.69
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.06 / $125.37 / $216.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.82 / $287.85 / $371.70
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.12 / $363.31 / $363.31
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.35 / $582.29 / $582.29
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.44 / $198.51 / $1,082.00
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.75 / $121.55 / $218.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.38 / $183.38 / $319.94