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Missouri 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
$1,291.85 / $1,291.85 / $1,291.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.66 / $759.31 / $2,674.21
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.60 / $984.60 / $984.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.23 / $885.00 / $1,367.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.05 / $1,050.54 / $1,732.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.39 / $941.74 / $1,483.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.91 / $956.25 / $7,032.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.09 / $857.48 / $1,270.30