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Wyoming rates for HCPCS 99479

Subsequent Intensive Care Infant 1500-2500 Grams

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.97 / $112.63 / $146.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.00 / $215.00 / $215.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.14 / $186.04 / $267.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.96 / $211.21 / $375.11