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Indiana rates for HCPCS 99471

Initial inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 29 days through 24 months of age

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $912.01 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $794.33 / $2,884.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $977.24 / $1,258.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $851.14 / $1,288.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $724.44 / $891.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $933.25 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $912.01 / $1,584.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $812.83 / $1,148.15