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Missouri 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
$117.92 / $193.41 / $193.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.59 / $116.04 / $388.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.92 / $147.91 / $163.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.80 / $135.80 / $207.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.40 / $155.05 / $252.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.34 / $142.55 / $224.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.68 / $145.53 / $1,082.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.53 / $128.69 / $192.23