| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $388.39 | $404.51 | $495.15 | |
BCBS
| Facility | $488.26 | $488.26 | $552.92 | |
Cigna
| Facility | $451.80 | $451.80 | $451.80 | |
United
| Facility | $556.60 | $857.82 | $857.82 |
Subsequent 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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $388.39 | $404.51 | $495.15 | |
BCBS
| Facility | $488.26 | $488.26 | $552.92 | |
Cigna
| Facility | $451.80 | $451.80 | $451.80 | |
United
| Facility | $556.60 | $857.82 | $857.82 |
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