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Wyoming rates for HCPCS 99480

Subsequent Intensive Care Infant 2501-5000 Grams

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.07 / $118.80 / $141.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.00 / $207.00 / $207.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.62 / $179.75 / $257.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.91 / $213.47 / $360.79