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Hawaii rates for HCPCS 99480

Subsequent intensive care, per day, for the evaluation and management of the recovering infant (present body weight of 2,501-5,000 grams)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.47 / $131.37 / $445.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.62 / $141.09 / $314.00
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.35 / $168.92 / $194.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.64 / $135.44 / $158.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.58 / $138.04 / $187.34
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.60 / $140.29 / $142.75