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Oklahoma rates for HCPCS 99479

Subsequent Intensive Care Infant 1500-2500 Grams

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.38 / $99.38 / $99.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.19 / $103.46 / $183.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.35 / $129.44 / $163.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.14 / $156.44 / $196.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.19 / $122.76 / $230.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.98 / $140.91 / $1,082.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.56 / $267.20 / $267.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.07 / $127.04 / $178.64