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South Carolina rates for HCPCS 99480

Subsequent Intensive Care Infant 2501-5000 Grams

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.45 / $118.30 / $440.29
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.62 / $163.63 / $192.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.00 / $121.53 / $195.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $132.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.42 / $137.59 / $228.30
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.33 / $144.97 / $201.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.97 / $144.97 / $281.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.42 / $113.57 / $178.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.02 / $119.50 / $190.15