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Vermont rates for HCPCS 99479

Subsequent Intensive Care Infant 1500-2500 Grams

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.62 / $122.62 / $323.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.57 / $176.22 / $218.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.01 / $170.34 / $278.33
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.77 / $170.34 / $278.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.04 / $174.82 / $274.41