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New Mexico rates for HCPCS 99479

Subsequent Intensive Care Infant 1500-2500 Grams

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.16 / $112.62 / $180.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.80 / $118.54 / $216.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.29 / $138.29 / $138.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.44 / $174.24 / $231.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $190.97
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.77 / $130.38 / $192.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.46 / $192.91 / $308.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.20 / $267.20 / $267.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.76 / $176.01 / $249.93