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Maine rates for HCPCS 99479

Subsequent Intensive Care Infant 1500-2500 Grams

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.87 / $112.62 / $183.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.15 / $154.69 / $228.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.29 / $138.29 / $138.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.70 / $160.93 / $265.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.32 / $169.78 / $264.87
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.87 / $123.89 / $193.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.12 / $176.12 / $261.39