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North Carolina rates for HCPCS 99479

Subsequent Intensive Care Infant 1500-2500 Grams

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.49 / $351.00 / $351.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.81 / $122.62 / $334.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.52 / $214.74 / $214.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.34 / $235.47 / $299.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $138.29 / $35,600.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.07 / $173.72 / $280.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.25 / $139.69 / $196.24
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.00 / $157.00 / $293.80
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.12 / $190.25 / $247.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.20 / $267.20 / $267.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.95 / $141.40 / $243.22
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.27 / $582.29 / $582.29
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.00 / $1,082.00 / $1,082.00