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New Jersey 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
$102.33 / $109.65 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $181.97 / $436.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $147.91 / $190.55
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $707.95 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $154.88 / $269.15
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $138.04 / $338.84
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $138.04 / $281.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $138.04 / $234.42