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Indiana rates for HCPCS 99472

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
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.35 / $344.35 / $344.35
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.50 / $435.07 / $543.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.80 / $451.80 / $451.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$556.60 / $556.60 / $556.60