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New Hampshire 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
$371.54 / $371.54 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $134.90 / $363.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $169.82 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $181.97 / $281.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $169.82 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $181.97 / $288.40
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $102.33 / $151.36