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Minnesota 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
$112.20 / $112.20 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $177.83 / $524.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $218.78 / $724.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $288.40 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $380.19 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $281.84 / $489.78
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $416.87 / $831.76
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $295.12 / $446.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $169.82 / $338.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $239.88 / $1,071.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $199.53 / $363.08