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Oklahoma 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
$95.28 / $95.28 / $95.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.13 / $99.78 / $171.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.59 / $113.59 / $133.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.45 / $124.13 / $157.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.62 / $150.47 / $185.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.13 / $118.25 / $222.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.68 / $136.35 / $1,082.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.48 / $121.98 / $169.67