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Idaho rates for HCPCS 99480

Subsequent Intensive Care Infant 2501-5000 Grams

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.37 / $165.46 / $326.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.23 / $179.58 / $240.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.60 / $158.62 / $203.33
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.07 / $199.71 / $221.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $184.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.88 / $171.64 / $213.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.91 / $165.62 / $209.23