go back

Mississippi rates for HCPCS 99480

Subsequent Intensive Care Infant 2501-5000 Grams

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.66 / $107.29 / $172.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.13 / $153.10 / $263.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.47 / $192.56 / $192.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.81 / $131.03 / $214.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.24 / $128.08 / $162.25