go back

Missouri 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
$140.37 / $202.02 / $202.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.67 / $120.79 / $371.26
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.04 / $133.09 / $170.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.44 / $144.88 / $214.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.00 / $161.87 / $261.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.60 / $147.93 / $232.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.98 / $152.69 / $1,082.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.20 / $267.20 / $267.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.17 / $135.21 / $204.36