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Iowa rates for HCPCS 99480

Subsequent Intensive Care Infant 2501-5000 Grams

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.06 / $114.99 / $539.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.40 / $219.80 / $310.56
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.04 / $160.13 / $711.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.58 / $175.35 / $259.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.69 / $189.28 / $1,082.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.43 / $219.80 / $305.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.43 / $223.06 / $305.38
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.00 / $187.43 / $211.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.08 / $157.94 / $269.54
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.02 / $230.40 / $230.40