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Pennsylvania 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
$621.84 / $621.84 / $2,125.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.90 / $726.82 / $1,997.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.06 / $1,187.06 / $1,187.06
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.55 / $794.44 / $1,446.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.74 / $883.74 / $883.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.22 / $953.37 / $1,533.44
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,662.21 / $1,662.21 / $1,662.21
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.59 / $1,139.63 / $2,070.53
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.20 / $1,705.41 / $7,499.05
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$621.84 / $621.84 / $2,125.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.84 / $1,030.36 / $2,125.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.00 / $870.00 / $870.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.00 / $1,230.08 / $1,762.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.74 / $883.74 / $883.74
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.22 / $951.14 / $1,533.44
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.18 / $759.26 / $790.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.05 / $881.11 / $1,475.68