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Michigan rates for HCPCS 99479

Subsequent intensive care, per day, for the evaluation and management of the recovering low birth weight infant (present body weight of 1,500-2,500 grams)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.34 / $125.34 / $125.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.77 / $125.34 / $326.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.90 / $100.90 / $100.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.29 / $177.29 / $177.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.18 / $186.15 / $221.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.73 / $142.44 / $183.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.12 / $146.55 / $185.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.29 / $138.29 / $138.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.32 / $145.91 / $379.22
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.70 / $123.11 / $158.12
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.44 / $128.15 / $314.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.65 / $136.59 / $196.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.20 / $267.20 / $267.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.34 / $138.06 / $188.15