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Georgia rates for HCPCS 99480

Subsequent Intensive Care Infant 2501-5000 Grams

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.45 / $169.53 / $169.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.66 / $104.54 / $264.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.30 / $201.07 / $505.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.04 / $143.46 / $241.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.67 / $152.05 / $216.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.04 / $133.80 / $176.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.90 / $132.90 / $132.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.96 / $158.21 / $264.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.53 / $151.62 / $571.97
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.07 / $168.12 / $212.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.30 / $138.19 / $220.48