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Missouri 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
$661.73 / $661.73 / $661.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.17 / $477.42 / $751.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$857.82 / $857.82 / $857.82