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West Virginia 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
$95.64 / $114.25 / $263.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.86 / $129.79 / $174.68
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.86 / $166.68 / $261.66
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 / $146.43 / $267.11
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.39 / $274.92 / $395.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.09 / $136.54 / $190.44