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Arizona rates for HCPCS 99480

Subsequent Intensive Care Infant 2501-5000 Grams

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.47 / $109.29 / $302.47
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.02 / $189.42 / $975.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.33 / $95.92 / $107.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.43 / $140.55 / $258.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.47 / $120.44 / $224.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.47 / $130.34 / $1,082.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.90 / $121.68 / $218.15