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Michigan 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
$407.38 / $407.38 / $407.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $588.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $512.86 / $776.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $389.05 / $1,023.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $338.84