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Vermont rates for HCPCS 99480

Subsequent Intensive Care Infant 2501-5000 Grams

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.54 / $114.70 / $274.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.31 / $169.51 / $356.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.46 / $163.13 / $267.39
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.51 / $163.13 / $267.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.71 / $167.94 / $264.24