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Utah 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
$128.82 / $128.82 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $128.82 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $158.49 / $346.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $229.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $234.42 / $380.19
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $218.78 / $302.00
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $186.21 / $263.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $138.04 / $213.80