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Pennsylvania 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
$97.81 / $97.81 / $343.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.44 / $121.48 / $323.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.50 / $225.28 / $845.76
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.16 / $130.66 / $225.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.29 / $138.29 / $138.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.64 / $148.52 / $238.36
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.04 / $259.04 / $259.04
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.07 / $177.31 / $322.14
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.85 / $184.73 / $1,166.09
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.81 / $97.81 / $343.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.81 / $168.50 / $328.54
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.40 / $148.40 / $148.40
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.40 / $192.00 / $272.81
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.29 / $138.29 / $138.29
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.64 / $147.81 / $238.36
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.71 / $119.33 / $169.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.91 / $144.18 / $218.49