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South Dakota rates for HCPCS 99469

Subsequent inpatient neonatal critical care, per day, for the evaluation and management of a critically ill neonate, 28 days of age or younger

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $575.44 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $676.08 / $870.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $549.54 / $812.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $645.65 / $3,548.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $758.58 / $776.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $891.25 / $891.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $630.96 / $851.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $575.44 / $794.33
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $794.33 / $794.33