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Michigan 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
$797.51 / $797.51 / $1,121.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.76 / $797.50 / $1,997.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,136.89 / $1,136.89 / $1,136.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.54 / $1,193.73 / $1,421.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.74 / $883.74 / $883.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.74 / $922.05 / $2,550.88
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.23 / $761.23 / $1,081.57
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.81 / $797.51 / $1,877.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.44 / $784.98 / $1,143.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.10 / $891.66 / $1,199.27