go back

Minnesota rates for HCPCS 99479

Subsequent Intensive Care Infant 1500-2500 Grams

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.04 / $111.04 / $111.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.36 / $122.62 / $351.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.95 / $214.68 / $686.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.16 / $307.52 / $373.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.08 / $416.86 / $1,002.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.78 / $326.27 / $472.35
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.08 / $343.07 / $789.61
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.56 / $316.39 / $405.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.04 / $187.66 / $325.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.74 / $249.13 / $863.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.85 / $240.61 / $395.91