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Alabama rates for HCPCS 99480

Subsequent Intensive Care Infant 2501-5000 Grams

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.47 / $98.59 / $125.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.30 / $126.70 / $201.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.13 / $138.54 / $163.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.96 / $133.66 / $255.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.05 / $115.88 / $159.52