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Montana 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
$606.10 / $753.91 / $1,925.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.57 / $1,206.19 / $1,206.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,206.19 / $1,206.19 / $1,206.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.35 / $1,158.59 / $1,718.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.84 / $885.23 / $1,435.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.50 / $1,321.29 / $2,061.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,069.07 / $1,311.76 / $1,509.90