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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
$730.97 / $730.97 / $730.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.84 / $679.14 / $1,115.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.50 / $938.50 / $938.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.80 / $859.80 / $1,158.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.78 / $846.77 / $987.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.00 / $811.49 / $1,058.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.74 / $883.74 / $883.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.09 / $900.58 / $1,413.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.68 / $816.99 / $1,123.80