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Nebraska 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
$103.58 / $103.58 / $103.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.59 / $104.49 / $274.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.74 / $151.74 / $217.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.53 / $179.78 / $242.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.96 / $228.97 / $356.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.58 / $176.09 / $262.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.74 / $224.91 / $1,082.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.43 / $219.80 / $305.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.43 / $223.06 / $305.38
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.07 / $197.14 / $236.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.41 / $208.96 / $295.33