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Massachusetts 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
Facility
Modifier
Low / Median / High Price
$114.70 / $114.70 / $114.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.07 / $124.13 / $347.71
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.38 / $560.79 / $560.79
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.21 / $204.71 / $1,082.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.81 / $214.40 / $334.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.90 / $132.90 / $132.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.40 / $176.97 / $330.36
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.52 / $135.52 / $135.52
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.56 / $120.77 / $208.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.49 / $277.33 / $358.11
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.78 / $348.36 / $871.25
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.38 / $560.79 / $560.79
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.55 / $189.90 / $1,082.00
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.15 / $116.43 / $208.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.33 / $176.85 / $323.85