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Connecticut rates for HCPCS 99480

Subsequent Intensive Care Infant 2501-5000 Grams

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.38 / $144.38 / $144.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.47 / $116.46 / $440.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.46 / $139.80 / $200.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.51 / $156.15 / $280.07
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.66 / $174.12 / $304.48
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.78 / $185.37 / $871.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.13 / $158.94 / $239.81