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Pennsylvania 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
$93.76 / $93.76 / $588.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.46 / $114.99 / $302.47
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.62 / $176.62 / $190.11
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.53 / $125.87 / $217.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.90 / $132.90 / $132.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.51 / $142.19 / $229.05
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.67 / $249.67 / $249.67
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.26 / $171.06 / $310.80
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.32 / $195.70 / $1,517.75
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.76 / $93.76 / $588.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.76 / $165.34 / $310.04
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.00 / $136.00 / $136.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.00 / $184.70 / $262.83
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.90 / $132.90 / $132.90
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.51 / $141.99 / $229.05
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.46 / $115.01 / $119.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.49 / $138.33 / $214.27