go back

New Hampshire 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
$2,394.28 / $2,394.28 / $2,394.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.84 / $819.91 / $1,919.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.47 / $929.03 / $1,478.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.56 / $1,309.15 / $2,003.35
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$845.39 / $1,329.97 / $2,609.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$845.39 / $1,188.08 / $2,591.37
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.96 / $729.55 / $1,100.08