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Massachusetts 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
$831.76 / $831.76 / $831.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,148.15 / $3,630.78
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $4,897.79 / $4,897.79
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,122.02 / $7,079.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,479.11 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,023.29 / $1,778.28
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $812.83
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $707.95 / $1,288.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,288.25 / $1,905.46
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,165.95 / $6,165.95 / $6,165.95
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $4,897.79 / $4,897.79
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,122.02 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,047.13 / $1,862.09