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Maine 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
Professional
Modifier
Low / Median / High Price
$690.28 / $753.91 / $1,177.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.47 / $931.75 / $1,458.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.74 / $883.74 / $883.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.00 / $1,031.44 / $1,691.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.52 / $1,088.79 / $1,698.60
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.28 / $785.23 / $1,261.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.55 / $1,139.28 / $1,669.97