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West Virginia rates for HCPCS 99480

Subsequent Intensive Care Infant 2501-5000 Grams

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.50 / $106.38 / $252.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.79 / $125.11 / $168.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.79 / $160.56 / $252.23
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 / $141.06 / $255.70
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.97 / $240.67 / $380.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.71 / $130.94 / $183.18