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Tennessee 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
Professional
Modifier
Low / Median / High Price
$90.47 / $114.03 / $205.59
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.66 / $147.82 / $207.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.04 / $146.68 / $233.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.90 / $132.90 / $132.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.06 / $151.31 / $247.90
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.38 / $253.38 / $560.79
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.00 / $1,082.00 / $1,082.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.68 / $132.51 / $229.39