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Nebraska 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
$223.87 / $223.87 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $147.91 / $416.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $208.93 / $263.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $302.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $186.21 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $204.17 / $316.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $162.18 / $218.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $218.78 / $1,071.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $239.88 / $281.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $239.88 / $281.84
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $245.47 / $302.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.13 / $0.13 / $0.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $186.21 / $309.03