go back

Washington 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
$129.18 / $203.99 / $317.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.82 / $129.18 / $308.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.33 / $335.69 / $335.69
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.51 / $519.25 / $519.25
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.47 / $246.00 / $1,082.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.09 / $206.88 / $344.84
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.95 / $196.35 / $280.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.02 / $194.40 / $284.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.91 / $159.90 / $289.95
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.54 / $225.17 / $231.15
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.85 / $258.91 / $312.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.47 / $220.44 / $294.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.98 / $179.66 / $334.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.69 / $119.72 / $119.72