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Tennessee 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
Professional
Modifier
Low / Median / High Price
$94.14 / $120.98 / $246.37
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.64 / $118.01 / $216.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.27 / $152.97 / $242.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.29 / $138.29 / $138.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.76 / $158.25 / $260.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.35 / $263.35 / $582.29
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.00 / $1,082.00 / $1,082.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.98 / $138.94 / $220.23