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Kentucky rates for HCPCS 99480

Subsequent Intensive Care Infant 2501-5000 Grams

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.40 / $101.40 / $101.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.47 / $104.54 / $290.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.61 / $125.55 / $139.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.14 / $133.11 / $183.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.04 / $131.91 / $171.26
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.04 / $133.80 / $171.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.90 / $132.90 / $132.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.57 / $141.71 / $236.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $139.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.28 / $130.72 / $188.39