go back

Arkansas rates for HCPCS 99480

Subsequent Intensive Care Infant 2501-5000 Grams

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.65 / $118.88 / $278.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.47 / $155.01 / $398.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.78 / $154.09 / $154.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.04 / $146.31 / $163.19
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.51 / $137.91 / $252.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541.00 / $541.00 / $541.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.04 / $138.31 / $186.51
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.25 / $159.25 / $159.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.51 / $127.66 / $162.02