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Montana 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
Professional
Modifier
Low / Median / High Price
$93.33 / $151.36 / $363.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,565.42 / $64,565.42 / $81,283.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $190.55 / $190.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $190.55 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $162.18 / $275.42
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $208.93 / $223.87
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $208.93 / $223.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $165.96 / $281.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $194.98 / $302.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $194.98 / $234.42