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Washington, DC rates for HCPCS 99480

Subsequent Intensive Care Infant 2501-5000 Grams

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.54 / $110.16 / $266.58
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.46 / $191.60 / $251.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.56 / $154.29 / $351.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.65 / $256.06 / $302.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.36 / $123.60 / $357.32